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[超声在诊断淋巴瘤性肝损害发病中的价值]

[Value of ultrasonics in diagnosing the onset of lymphomatous liver lesions].

作者信息

Bruneton J N, Balu-Maestro C, Bourry J, Thyss A, Normand F, Santini N, Schneider M

出版信息

Nouv Rev Fr Hematol (1978). 1986;28(6):365-9.

PMID:3550693
Abstract

Ultrasound and anatomic findings were compared in 128 cases of lymphoma [87 non-Hodgkin lymphomas (NHL), 41 Hodgkin's disease (HD). Lymphomatous or other hepatic anomalies were observed in 40 cases (33 NHL, 7 HD). The 33 NHL lesions included 22 lymphomatous sites and 13 non-lymphomatous pathologies (in particular 5 biliary cysts and 4 cavernous liver hemangiomas). The 7 cases of hepatic anomalies in patients with HD included 6 specific disease sites and 1 cavernous hemangioma. For NHL, the sensitivity of ultrasonography in our series was 72.7% and the specificity 97%. In HD, the sensitivity was 66.6% and the specificity 100%. The value of ultrasound for the detection of lymphomatous liver lesions appears comparable to the results obtained with CT published in the literature; ultrasonography should thus be the first examination performed for subdiaphragmatic exploration during the investigation and follow-up of lymphomas.

摘要

对128例淋巴瘤患者(87例非霍奇金淋巴瘤、41例霍奇金病)的超声检查结果与解剖学检查结果进行了比较。40例(33例非霍奇金淋巴瘤、7例霍奇金病)观察到淋巴瘤性或其他肝脏异常。33例非霍奇金淋巴瘤病变包括22个淋巴瘤部位和13种非淋巴瘤性病变(特别是5个胆囊囊肿和4个肝海绵状血管瘤)。7例霍奇金病患者的肝脏异常包括6个特定疾病部位和1个海绵状血管瘤。对于非霍奇金淋巴瘤,本系列中超声检查的敏感性为72.7%,特异性为97%。对于霍奇金病,敏感性为66.6%,特异性为100%。超声检测淋巴瘤性肝病变的价值似乎与文献中发表的CT检查结果相当;因此,在淋巴瘤的检查和随访过程中,超声检查应作为膈下探查的首选检查方法。

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