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目的:分析X线在小肠恶性淋巴瘤诊断中的应用效果。方法:回顾性分析经手术确诊为小肠恶性淋巴瘤的19例患者的临床资料,分析其X线以及CT诊断的表现,其钡餐检查采用全消化道跟踪观察、多体位以及在需要时适当加压的诊断方法。结果:经X线造影,小肠恶性淋巴瘤发生部位为发生于回肠者9例,发生于空肠者3例,同时发生于空肠和回肠者7例。后经手术证实,其中有7例患者出现误诊,3例患者误诊为小肠癌,2例患者误诊为单纯的肠套叠2例,小肠平滑肌瘤2例。结论:对小肠恶性淋巴瘤行X线全消化道钡餐检查,检查范围较广,可以检查各种类型、各个部位的肿瘤,虽然确诊率比较高,但易出现误诊。
Objective: To analyze the application of X-ray in the diagnosis of small intestinal malignant lymphoma. Methods: The clinical data of 19 patients with small bowel malignant lymphoma who underwent surgery were retrospectively analyzed. The X-ray and CT findings were analyzed. The barium meal examination was performed with whole-alimentary tract tracking, multi-position and appropriate pressurization Diagnosis method. Results: X-ray angiography, intestinal malignant lymphoma occurred in 9 cases occurred in the ileum, occurred in the jejunum in 3 cases, while in the jejunum and ileum in 7 cases. After surgery confirmed that 7 patients were misdiagnosed, 3 patients misdiagnosed as small bowel cancer, 2 patients misdiagnosed as simple intussusception in 2 cases, 2 cases of small bowel leiomyoma. Conclusion: The small bowel malignant lymphoma underwent X-ray digestive tract barium meal examination, a wide range of tests, you can check all types and various parts of the tumor, although the diagnosis rate is relatively high, but prone to misdiagnosis.