摘要
目的 探讨原发性胃非霍奇金氏淋巴瘤临床误诊的原因及应对措施。方法 对我院1987～2004年收治的82例原发性胃非霍奇金氏淋巴瘤进行回顾性分析。结果 本组术前钡餐误诊率72.7％,胃镜误诊率77.2％,内镜活检误诊率51.9％。总误诊率达65.1％,其中主要误诊为胃癌,占总误诊次数的87.3％。结论 提高对原发性胃非霍奇金氏淋巴瘤临床特点的认识,重视其常规检查方法的形态特征,必要时运用现代影像学、分子生物学技术,将提高本病的诊断率,以达到提高疗效、改善预后的目的。
Objective To study the causes of high misdiagnostic rate of primary gastric nonhodgkin's lymphoma and the measures how to decrease misdiagnoses. Methods A retrospective study was conducted on 82 patients with primary gastric non-hodgkin's lymphoma who were hospitalized from 1987 to 2004. Results Preoperative misdiagnostic rate of X-ray, gastroscopy and biopsy was respectively 72.7%, 77.2%, 51.9%. Total misdiagnostic rate was 65.1%. Most of cases misdiagnosed were gastric cancer and the misdiagnostic rate was 87.3%. Conclusion To grasp the clinical characteristics of primary gastric non-hodgkin's lymphoma, emphasize on its morphologic features in the routine measures and apply necessarily the ways of modern medical imageology and the technologies of molecular biology will surely decrease the misdiagnostic rate and be effective to improve the treatment and prognosis.
出处
《腹部外科》
2004年第5期274-275,共2页
Journal of Abdominal Surgery
