原发性肠道淋巴瘤11例临床分析

Characteristics of 11 Patients with Primary Intestinal Lymphoma

目的提高对原发性肠道淋巴瘤的诊治水平。方法回顾性分析近5年11例原发性肠道淋巴瘤的临床资料,总结原发性肠道淋巴瘤的临床、实验室检查特点及误诊原因。结果原发性肠道淋巴瘤临床表现无特异性,术前诊断困难,漏诊、误诊率高。结论医师应充分重视该病,对疑似病例尽早行全肠道内镜检查,病变区即使是微小病变,也要常规取活检行病理组织学检查,内镜检查仍不能确诊的病例,应及时在影像学监视下行腹腔包块穿刺或剖腹探查,以进一步明确诊断。

Objective To improve the diagnosis level of the primary intestinal lymphoma. Methods Reviewing the analysis of 11 cases clinical materials of the primary intestinal lymphoma （ PIL） in five years in order to summarize the clinical and laboratory characteristics and the reasons of misdiagnoses. Results Diagnosed before operation with difficulty, the rate of misdiagnoses and the erroneous diagnosis are high because the clinical manifestation of the PIL has not obvious specificity. Conclusion Doctors should pay attention to the disease, examine suspicious diseases as soon as possible through total intestinal endoscopy; conventionally take the biopsy to carry out histopathology inspection even if the micro-focus; further make sure the diagnosis by puncturing via abdomen under the image inspection or examing by laparotomy if the disease still can＇t be diagnosed by intestinal lymphoma.