小肠恶性淋巴瘤的临床与X线分析

Clinical and radiological analysis of malignant lymphoma in small intestine

目的探讨小肠恶性淋巴瘤的临床、X线诊断。方法对12例经手术病理证实的小肠恶性淋巴瘤的临床表现、X线检查结果进行分析。钡餐检查采用全消化道追踪观察,多体位及适当加压的方法。结果病变单独发生于空肠2例,回肠6例,同时侵犯空、回肠4例。10例行全消化道钡餐检查,发现肠腔狭窄5例,多发小结节充盈缺损6例,“动脉瘤样扩张”3例,不规则龛影3例。另2例空气复位灌肠示回盲部杯口状充盈缺损。结论小肠恶性淋巴瘤临床以腹痛及腹部肿块为主要表现,好发于回肠,全消化道钡餐检查以多发及多种类型病变,侵犯范围较广泛为特点。

ObjectiveTo improve the clinical diagnosis of malignant lymphoma in small intestine (MLSI) by analysingthe X-ray feature.MethodsThe clinical data and X-ray findings of 12 patients with MLSI conformed with operation andpathology were analyzed retrospectively. The X-ray findings were obtained by barium examination with relevant pressure andmulti-posture. ResultsThe lesions were located in jejunum in 2 cases, ileum in 6 cases, both jejunum and ileum in 4 cases.Ten cases underwent overall gestrointestine(GI) barium meal examinatio. X-ray findings showed intestinal narrow in 5 cases,multiple nodular filling defect in 6 cases, aneurysmoid enlarge in 3 cases, irregular niche in 3 cases. The other 2 casesunderwent air enema, which showed cup-mouth-shaped filling defect in ileoceum.ConclusionsMLSI usually focus in ileum,presenting an abdominal pain and lump. The feature of overall GI barium examination of the disease is multiple, various typelesions involving wide range.