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肠道非霍奇金淋巴瘤34例临床分析

段    明,李    毅,朱维铭   

  1. 东部战区总医院普通外科,江苏南京210002
  • 出版日期:2019-03-01 发布日期:2019-03-19

  • Online:2019-03-01 Published:2019-03-19

摘要:

目的    总结肠道非霍奇金淋巴瘤病人的临床特点。方法    回顾性分析东部战区总医院2009年1月至2018年6月收治的肠道非霍奇金淋巴瘤病人的人口学、临床表现、内镜及影像学资料,统计学方法采用曼-尼秩和检验和卡方检验。结果    共34例肠道非霍奇金淋巴瘤,其中B细胞淋巴瘤21例,T/NK细胞淋巴瘤13例。共15例病人(13例为T/NK细胞淋巴瘤)出现反复而顽固的临床症状,依次为发热、消化道出血、肠穿孔。结论    病人如出现反复而顽固的临床表现(如高热、消化道出血或穿孔等),保守治疗无法缓解时,应警惕恶性疾病的可能性,并积极想方设法明确诊断。

关键词: 肠道, 非霍奇金淋巴瘤, 发热, 炎症性肠病

Abstract:

Analysis of intestinal non-Hodgkin lymphoma:A clinical analysis of 34 cases        DUAN Ming, LI Yi, ZHU Wei-ming. Department of General Surgery, General Hospital of Eastern Theater Command, Nanjing 210002, China
Corresponding author:ZHU Wei-ming,E-mail:juwiming@nju.edu.cn
Abstract    Objective    To analyze the clinical characteristics of intestinal non-Hodgkin lymphoma. Methods    The demographic, clinical, endoscopic and imaging data of patients with intestinal non-Hodgkin lymphoma admitted in Department of General Surgery, General Hospital of Eastern Theater Command from January 2009 to June 2018 were analyzed retrospectively. Rank-sum test and Chi-square test were used. Results    There were 21 B-cell and 13 T/NK-cell lymphoma patients.A total of 15 cases including 13 patients of T/NK-cell lymphoma presented with repeatedly fever,hemorrhage of gut and enterobrosis. Conclusion    It is necessary to pay attention to T/NK-cell lymphoma if the patient presented with repeatedly fever,hemorrhage of gut and enterobrosis.

Key words: intestinal, non-Hodgkin lymphoma, fever, inflammatory bowel disease