MSCT对胃肠道淋巴瘤的诊断价值研究

发布时间：2018-06-12 23:05

本文选题：胃肠道 + 淋巴瘤　；参考：《医学影像学杂志》2016年06期

【摘要】：目的探讨多层螺旋CT平扫和增强扫描对胃肠道淋巴瘤的诊断价值。方法收集2011年1月~2014年7月在我院经内镜检查,并行CT扫描及术后病理活检证实的胃肠道淋巴瘤30例。所有病例均采用Black Ledge的分期方法进行临床分期。对胃肠道淋巴瘤的发生部位,病变厚度、分期、病理结果、平扫和增强的资料进行分析。结果胃淋巴瘤与肠道淋巴瘤的平扫、增强CT值比较无明显差异,两者的病变厚度比较有显著性差异(P0.05);MALT与其他胃肠道淋巴瘤的平扫、增强CT值比较无明显差异,病变厚度比较有显著性差异(P0.05);MALT与胃肠道淋巴瘤发生部位的关系表明:MALT在胃部发生率较高,而非MALT在肠道中发生占绝大多数(λ2=5.68,P=0.021);胃肠道淋巴瘤病变部位与病变分级的关系表明:胃肠道淋巴瘤较其他部位多发,且进展较快,如果发现了肠道淋巴瘤,大多数情况下都已经处于晚期。结论多层螺旋CT主要是用来诊断胃肠道淋巴瘤的,目前已经成为一种非常有效的方法,胃肠道淋巴瘤有多种CT表现形式,弥漫浸润型和多发肿块结节型是其两种主要的CT表现类型,CT平扫和增强可以明确病变部位,病变侵袭范围,周围淋巴结肿大情况,为胃肠道淋巴瘤的进一步临床治疗提供可靠依据。
[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.
【作者单位】：山东省邹城市人民医院放射科;山东省章丘市人民医院;
【分类号】：R735;R730.44

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