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目的:探讨原发性胃淋巴瘤的外科治疗特点。方法:对我院收治的32例原发性胃淋巴瘤患者的临床特点及手术方式进行分析总结。结果:病理大体四类,肿块型、浸润型、溃疡型、复发结节型分别有7、15、6、4例;临床AnnArbor分期1E～4E期分别有9、18、2、3例;组织学分类霍奇金氏病8例,非霍奇金氏病24例;大体部位位于上半胃的9例,下半胃的23例,采用胃大部切除(毕Ⅰ、Ⅱ式)、全胃切除或胃肠吻合等手术方式,疗效较满意。结论:手术切除是治疗原发性胃淋巴瘤的主要手段。
Objective: To investigate the surgical treatment of primary gastric lymphoma. Methods: The clinical features and operation of 32 patients with primary gastric lymphoma admitted to our hospital were analyzed and summarized. Results: The pathological general four categories, tumor type, infiltration type, ulcerative type, recurrence nodules were 7,15,6,4 cases; clinical Ann Arbor stage 1E ~ 4E were 9,18,2,3 cases; tissue Hodgkin’s disease classification in 8 cases, non-Hodgkin’s disease in 24 cases; the general part of the upper half of the stomach in 9 cases, 23 cases of the lower half of the stomach, the use of subtotal gastrectomy (Bi Ⅰ, Ⅱ) Gastrectomy or gastrointestinal anastomosis and other surgical methods, the effect is more satisfactory. Conclusion: Surgical resection is the main treatment for primary gastric lymphoma.