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[通过血管造影术诊断结肠癌浆膜侵犯程度]

[Diagnosis of degree of serosal invasion of carcinoma of the colon by angiography].

作者信息

Iijima T

出版信息

Nihon Geka Gakkai Zasshi. 1987 Jun;88(6):710-4.

PMID:3627093
Abstract

Angiography (AG) using Prostaglandin E1 was performed on 35 cases of carcinoma of the colon in order to diagnose the degree of serosal invasion. The findings of AG were classified into 4 groups: AG-S3, abnormal change (like irregularity and/or encasement) up to marginal vessels; AG-S2, abnormality up to vasa recta; AG-S1, abnormality of penetrating branches of vasa recta; AG-S0, no distinct findings of above mentioned vessels. 1) Diagnosis of AG is in accord with the visible postoperative findings in 82.9%. 2) Diagnosis of AG is in accord with the histopathological findings in 32.4%. 3) Postoperative examinations confirmed the AG diagnosis precisely but the conflict with histopathological findings should not be overlooked. This may be the results of inflammatory change, adhesion and fibrosis around the carcinoma of the colon.

摘要

对35例结肠癌患者进行了使用前列腺素E1的血管造影(AG),以诊断浆膜侵犯程度。AG的结果分为4组:AG-S3,边缘血管出现异常改变(如不规则和/或包绕);AG-S2,直血管出现异常;AG-S1,直血管穿支异常;AG-S0,上述血管无明显异常。1)AG诊断与术后可见结果相符率为82.9%。2)AG诊断与组织病理学结果相符率为32.4%。3)术后检查准确证实了AG诊断,但与组织病理学结果的冲突不应被忽视。这可能是结肠癌周围炎症改变、粘连和纤维化的结果。

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