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目的：总结腹部原发性非何杰金淋巴瘤诊断和治疗。方法：回顾近收治１６例腹部原发性非何杰金淋巴瘤手术方法、术中所见以及术前诊断，并结合文献分析讨论。结果：１６例非何杰金淋巴瘤位于胃６例、脾４例、肠及肠系膜６例，术前无１例明确诊断。术前死亡２例，采用手术治疗结合化、放疗１４例；根治性切除５年生存率８５％，姑息性切除为３０％。结论：熟悉腹部非何杰金淋巴瘤临床特点，在Ｘ线、内镜检查时提高对本病认识，可降低误诊率；采取以手术为主的综合治疗方法，可提高病人生存率。
Objective: To summarize the diagnosis and treatment of idiopathic non-Hodgkin’s lymphoma. Methods: A retrospective review of 16 cases of primary non-Hodgkin’s lymphoma surgery, surgical findings and preoperative diagnosis, combined with literature analysis and discussion. Results: 16 cases of non-Hodgkin lymphoma were located in the stomach in 6 cases, 4 cases in the spleen, 6 cases in the intestine and mesentery without any definite diagnosis before operation. Preoperative death in 2 cases, the use of surgery combined with radiotherapy 14 cases; radical resection of 5-year survival rate of 85%, palliative resection of 30%. Conclusion: Familiar with the clinical features of non-Hodgkin’s lymphoma in the abdomen, X-ray, endoscopy to improve understanding of the disease, can reduce the misdiagnosis rate; to take a comprehensive surgery-based treatment can improve patient survival.