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目的探讨胃肠道恶性淋巴瘤的诊治方法。方法对２４例胃肠道淋巴瘤资料进行了回顾性分析。结果小肠淋巴瘤１３例，３例术前在ＣＴ引导下活检确诊，１１例钡餐检查８例异常；胃淋巴瘤６例与结肠淋巴瘤５例均为术前内窥镜下活检确诊。Ｂ超检查２２例，１４例阳性；ＣＴ检查１７例，１４例阳性。２３例行手术治疗辅佐ＣＨＯＰＥ化疗，有效率９５８％。术后全部病例均获随访，随访时间为１～１４年，５年生存率为６６７％。Ⅱ，Ⅲ期９例术后６～２３月复发，５例死于复发与并发症。结论内窥镜下活检或ＣＴ引导下活检最具确诊价值，消化道钡餐对诊断有所帮助。治疗以手术作为首选，辅佐化疗，以ＣＨＯＰＥ方案为佳。
Objective To investigate the diagnosis and treatment of gastrointestinal lymphoma. Methods 24 cases of gastrointestinal lymphoma were retrospectively analyzed. Results Intestinal lymphoma was found in 13 cases, 3 cases were confirmed by CT-guided biopsy before operation, 11 cases of barium meal examination were abnormal, and 6 cases of gastric lymphoma and 5 cases of colon lymphoma were confirmed by preoperative endoscopic biopsy. B-ultrasound examination in 22 cases, 14 cases were positive; CT examination in 17 cases, 14 cases were positive. Twenty-three patients were treated with CHOPE chemotherapy with an effective rate of 95.8%. All patients were followed up for a period of 1 to 14 years. The 5-year survival rate was 66.7%. II, III 9 cases of recurrence after 6 to 23 months, 5 cases died of recurrence and complications. Conclusion The endoscopic biopsy or CT-guided biopsy is the most definitive diagnosis, and barium meal in the digestive tract is helpful for diagnosis. Treatment as the first choice for surgery, adjuvant chemotherapy, better with CHOPE program.