Balashov A T, Mendeleev I M
Ter Arkh. 1988;60(9):73-6.
A combined study including selective angiography of the liver and spleen, angioscintigraphy with 99mTc-TCK-5, polypositional scintigraphy with 99mTc-frosstimag-phytate, and ultrasonic scanning was conducted to detect specific liver and splenic involvement in 57 patients with Hodgkin's disease, CT was performed in 4 patients. A high diagnostic value of all methods was shown in macronodal liver involvement (node sizes over 3 cm); of ultrasonic scanning--in the detection of nodes in the liver (node sizes from 1 to 3 cm); of ultrasonic scanning, angiography and angioscintigraphy--in nodal splenic involvement. Signs of diffuse-infiltrative liver involvement detected in angiography and angioscintigraphy were described. The informative value of ultrasonic scanning and CT in this type of involvement was much lower.
对57例霍奇金病患者进行了一项综合研究，包括肝脏和脾脏的选择性血管造影、99mTc-TCK-5血管闪烁造影、99mTc-弗罗斯蒂马格-植酸盐多体位闪烁造影以及超声扫描，4例患者进行了CT检查。所有方法对肝大结节受累（结节大小超过3 cm）均显示出较高的诊断价值；超声扫描对肝脏内结节（结节大小为1至3 cm）的检测具有较高诊断价值；超声扫描、血管造影和血管闪烁造影对脾脏结节受累具有较高诊断价值。描述了血管造影和血管闪烁造影中检测到的弥漫性浸润性肝脏受累征象。超声扫描和CT对这类受累的信息价值要低得多。
