本文選題：胃腸道 + 淋巴瘤�。� 參考：《醫(yī)學(xué)影像學(xué)雜志》2016年06期

【摘要】：目的探討多層螺旋CT平掃和增強掃描對胃腸道淋巴瘤的診斷價值。方法收集2011年1月~2014年7月在我院經(jīng)內(nèi)鏡檢查,并行CT掃描及術(shù)后病理活檢證實的胃腸道淋巴瘤30例。所有病例均采用Black Ledge的分期方法進行臨床分期。對胃腸道淋巴瘤的發(fā)生部位,病變厚度、分期、病理結(jié)果、平掃和增強的資料進行分析。結(jié)果胃淋巴瘤與腸道淋巴瘤的平掃、增強CT值比較無明顯差異,兩者的病變厚度比較有顯著性差異(P0.05);MALT與其他胃腸道淋巴瘤的平掃、增強CT值比較無明顯差異,病變厚度比較有顯著性差異(P0.05);MALT與胃腸道淋巴瘤發(fā)生部位的關(guān)系表明:MALT在胃部發(fā)生率較高,而非MALT在腸道中發(fā)生占絕大多數(shù)(λ2=5.68,P=0.021);胃腸道淋巴瘤病變部位與病變分級的關(guān)系表明:胃腸道淋巴瘤較其他部位多發(fā),且進展較快,如果發(fā)現(xiàn)了腸道淋巴瘤,大多數(shù)情況下都已經(jīng)處于晚期。結(jié)論多層螺旋CT主要是用來診斷胃腸道淋巴瘤的,目前已經(jīng)成為一種非常有效的方法,胃腸道淋巴瘤有多種CT表現(xiàn)形式,彌漫浸潤型和多發(fā)腫塊結(jié)節(jié)型是其兩種主要的CT表現(xiàn)類型,CT平掃和增強可以明確病變部位,病變侵襲范圍,周圍淋巴結(jié)腫大情況,為胃腸道淋巴瘤的進一步臨床治療提供可靠依據(jù)。
[Abstract]:Objective to evaluate the diagnostic value of multislice spiral CT plain scan and enhanced CT in gastrointestinal lymphoma. Methods from January 2011 to July 2014, 30 cases of gastrointestinal lymphoma confirmed by endoscopy, CT scan and pathological biopsy were collected. All cases were treated by Black Ledge staging. The location, thickness, staging, pathological results, plain scan and enhancement of gastrointestinal lymphoma were analyzed. Results there was no significant difference in contrast-enhanced CT value between gastric lymphoma and intestinal lymphoma. There was a significant difference in the thickness of lesions between the two groups. There was significant difference in the thickness of lesions. The relationship between malt and the location of gastrointestinal lymphoma showed that the incidence of malt was higher in the stomach. The relationship between pathological location and pathological grade of gastrointestinal lymphoma showed that gastrointestinal lymphoma was more frequent and more advanced than other sites, if intestinal lymphoma was found, In most cases, they are in the late stages. Conclusion Multi-slice spiral CT is mainly used to diagnose gastrointestinal lymphoma and has become a very effective method. There are many CT manifestations of gastrointestinal lymphoma. Diffuse infiltrating type and multiple mass nodular type are two main types of CT manifestations. Plain CT scan and enhancement can identify the location of lesion, the extent of invasion, and the surrounding lymphadenopathy. To provide reliable basis for further clinical treatment of gastrointestinal lymphoma.
【作者單位】： 山東省鄒城市人民醫(yī)院放射科;山東省章丘市人民醫(yī)院;
【分類號】：R735;R730.44

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本文編號：2011425