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[不同解剖区域的正常淋巴结横断面及其在计算机断层扫描诊断中的意义]

[Normal lymph node cross sections in different anatomic regions and their significance for computed tomographic diagnosis].

作者信息

Peters P E, Beyer K

出版信息

Radiologe. 1985 May;25(5):193-8.

PMID:4011882
Abstract

In 102 patients, lymph node cross section measurements in different anatomic regions were taken from standard bipedal lymphograms without evidence of lymphatic disease. Corrections were made for geometric magnification due to anatomic changes in lymph node: film distances. In each region, the arithmetic mean, standard deviation, median value, Gaussian distribution, and 95% confidence limits were calculated. In 51 male patients (age range: 15 to 78 years) and 51 female patients (age range: 20 to 76 years), the following upper limits of normal lymph node cross section measurements were found: Retrocrural nodes - 7 mm, lumbar nodes - 10 mm, iliac lymph nodes - 12 mm, inguinal lymph nodes - up to 18 mm. The values obtained showed no statistically significant differences between male and female patients and between the right and left sides of the body. The problem of size as the only criterion of malignancy in computed tomography as well as in sonography of the retroperitoneal lymph nodes is discussed.

摘要

在102例患者中,从无淋巴疾病迹象的标准双足淋巴造影中获取不同解剖区域淋巴结的横截面测量值。针对由于淋巴结解剖结构变化(胶片距离)导致的几何放大进行了校正。在每个区域,计算算术平均值、标准差、中位数、高斯分布和95%置信限。在51例男性患者(年龄范围:15至78岁)和51例女性患者(年龄范围:20至76岁)中,发现正常淋巴结横截面测量的以下上限:膈脚后淋巴结 - 7毫米,腰淋巴结 - 10毫米,髂淋巴结 - 12毫米,腹股沟淋巴结 - 达18毫米。所得值在男性和女性患者之间以及身体左右两侧之间均无统计学显著差异。讨论了在计算机断层扫描以及腹膜后淋巴结超声检查中,大小作为恶性肿瘤唯一标准的问题。

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