【摘要】 目的 分析原发性胃肠道恶性淋巴瘤X线钡餐造影及CT诊断,指导临床治疗。方法 回顾性分析我院36例原发性胃肠道恶性淋巴瘤病例。提高其X线及CT诊断水平。结果 36例均行钡餐造影检查,见胃肠溃疡性钡斑及充盈缺损18例。肠管浸润性改变即肠管狭窄与扩张并存10例黏膜不规则改变3例。其中5例无阳性改变。28例行CT造影检查见胃肠道壁增厚、溃疡及息肉等。8例经内窥镜检查可见黏膜溃疡及突起的肿块。结论 内窥镜检查是诊断胃、大肠淋巴瘤的重要检查手段,还需要结合刷检。X线钡餐造影是诊断小肠淋巴瘤的重要检查手段,与CT检查结合可进一步提高诊断率。必要时手术探查。

    【关键词】 淋巴瘤;X线;CT

    【Abstract】 Objective analysis of the primary gastrointestinal Lymphoma x ray and CT,guide clinical treatment.Methods To Retrospective analysis of 36 cases of primary gastrointestinal Lymphoma cases.Increase the diagnostic x ray,CT.Results 36 cases were line barium check,gastrointestinal ulcerative barium grouper and filling defect in 18 cases.The gut of invasive change that co exist with intestinal stenosis and expansion of 10 cases,mucosal irregular change 3 cases.Five of the cases of non positive change.the 28 routine CT Angiography see gastrointestinal wall thickening,ulceration and polyps,etc.8 cases via endoscopy visible ulceration and projection of the masses.Conclusion primary gastrointestinal Lymphoma due to its unusual easily missed,based only on the clinical manifestations of gastrointestinal diseases methods.Endoscopy is the diagnosis of stomach and Bowel lymphoma important check,also need to combine brushing.X ray diagnosis of small bowel lymphoma is important to check,and CT medicine diagnostic rate increase further.Surgical exploration when necessary. ......