外科手术在胃淋巴瘤联合治疗中的作用（附52例报告）

The role or summery in the multimodaltberapy of gas-trio lymphoma.

本文总结了５２例原发性胃非何杰金淋巴瘤（ｐｇＮＨＬ）的治疗经验。全组病例平均随诊时间６８个月（１２～１２０个月）。根据肿瘤分期、组织学分类、肿瘤浸润深度、手术方式和肿瘤切除与否等可能的预后因素，分析外科手术在联合治疗ＰｇＮＨＬ中的作用。结果表明，单纯手术的疗效远不如手术加化疗等联合治疗，但肿瘤未切除者预后更差。因此我们认为，ｐｇＮＨＬ应以联合治疗为主，而外科手术是联合治疗中不可缺少的重要环节。

2 patients with primary gastric non-Hodgkin,s lym-phoma (pgNHL)were treated in our hospital. The meanfollow-up time was 68 months ranging from 12 to 120.The role of surgery in the multimodaltherapy ofpgNHL was anayed according to the prognostic factorssuch as stage, grade, depth of penetration of the tumor, surgical methods and resectability of the tumor.The results revealed that surgery alone was less thans urgery + chemotherapy on prognosis, the therape u t iceffectiveness of unresectable tumor was worse. Therefore, we suggest that multimodaltherepy should be aprincipal modality in treatment of pgNHL, and surgeryplays an important role on combined treatment.