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目的分析胃淋巴瘤患者的多层螺旋CT表现特征,探讨其在鉴别诊断胃淋巴瘤和正确评估患者病情中的价值。方法对22例胃非霍奇金淋巴瘤患者的多层螺旋CT检查和临床病理资料进行回顾性分析。结果 22例患者全部于治疗前进行多层螺旋CT检查并经胃镜活检或手术证实为胃非霍奇金淋巴瘤。发病多在胃体和胃窦部位,胃壁呈明显的不均匀增厚,厚度均超过8mm,胃壁侵犯范围均超过胃全周的60%。增强扫描,17例患者病变可见中度均匀强化(强化程度与周围肌肉组织相近),占77.27%;17例患者可见腹腔淋巴结肿大,占72.73%;12例患者有肾门下腹膜后淋巴结肿大,占54.55%。结论胃淋巴瘤患者的多层螺旋CT表现具有较明显的特征性,正确认识和分析这些特征,有助于对胃淋巴瘤患者的鉴别诊断和对患者病情的正确评估。对胃淋巴瘤的鉴别诊断有重要价值。
Objective To analyze the features of multi-slice spiral CT in patients with gastric lymphoma and to explore its value in the differential diagnosis of gastric lymphoma and the correct evaluation of the patients’ condition. Methods Twenty-two patients with gastric non-Hodgkin’s lymphoma were analyzed retrospectively by multi-slice spiral CT and clinicopathological data. Results Twenty-two patients were all treated with multi-slice spiral CT before the treatment and confirmed by gastric biopsy or surgery as gastric non-Hodgkin’s lymphoma. The incidence of gastric body and gastric antrum in the site, the stomach was significantly uneven thickening, the thickness of more than 8mm, the stomach wall violations were more than 60% of the whole stomach. Enhanced scanning, the lesions of 17 patients were seen moderately uniform enhancement (intensity and surrounding muscle tissue similar), accounting for 77.27%; 17 cases of abdominal lymph nodes can be seen, accounting for 72.73%; 12 cases of subrenal retroperitoneal lymph nodes , Accounting for 54.55%. Conclusion The MSCT features of gastric lymphoma patients have more obvious characteristics. To correctly understand and analyze these characteristics, it is helpful for the differential diagnosis of gastric lymphoma patients and the correct assessment of the patient’s condition. The differential diagnosis of gastric lymphoma has important value.