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[腔静脉血栓的核磁共振断层扫描:在鉴别诊断和治疗中的临床意义]

[NMR tomography of vena cava thrombi: clinical significance in the differential diagnosis and therapy].

作者信息

Liedl B, Schmidt H, Mayr B, Beer M, Staehler G, Jocham D

机构信息

Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.

出版信息

Helv Chir Acta. 1990 Nov;57(3):447-50.

PMID:2269629
Abstract

31 patients with advanced renal cell carcinoma underwent abdominal MRI which were examined by an independent experienced radiologist and compared with the intraoperative findings. 12 of 13 vena caval tumor thrombi were diagnosed correctly, 1 small tumor thrombus in a case with large retroperitoneal lymph nodes compressing the vena cava could not be detected. The extension of the tumor in the vena cava could exactly be described in topographic relation to liver, diaphragm and right atrium which is important for planning the operative procedure.

摘要

31例晚期肾细胞癌患者接受了腹部MRI检查,由一位经验丰富的独立放射科医生进行检查,并与术中发现进行比较。13例腔静脉肿瘤血栓中有12例被正确诊断,1例伴有巨大腹膜后淋巴结压迫腔静脉的病例中的小肿瘤血栓未被检测到。肿瘤在腔静脉中的延伸可以根据其与肝脏、膈肌和右心房的位置关系准确描述,这对手术方案的制定很重要。

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