Bergander S, Sarembe B, Nitzsche H, Richter P, Nitzsche M
Zentralbl Gynakol. 1985;107(12):721-5.
118 of 129 pre-operative patients with invasive cervical carcinoma of stage Ib to IIb from 1974 to 1978 were examined lymphographically. Abdominal radical hysterectomy according to Wertheim with obligatory lymphonodectomy followed in all cases. Results of the histologic examination of lymphnodes have been compared with the findings from lymphography, whereby a coincidence could be proved in 84 per cent of all cases. The correlation for the lumbar and iliac lymphonodi was listed separately in 75 per cent of the cases. Lymphography gives significantly better results within the lumbar region with an accuracy rate of 92 per cent, a sensitivity of 100 per cent and a specificity of 98.5 per cent. It may be concluded that a lumbar lymphonodectomy is not necessary in the event of a negative lymphography.
1974年至1978年间，对129例Ib期至IIb期浸润性宫颈癌术前患者中的118例进行了淋巴造影检查。所有病例均按照韦特海姆法进行腹式根治性子宫切除术并强制性进行淋巴结切除术。将淋巴结的组织学检查结果与淋巴造影检查结果进行了比较，结果发现所有病例中有84%二者相符。75%的病例分别列出了腰淋巴结和髂淋巴结的相关性。淋巴造影在腰椎区域的结果明显更好，准确率为92%，敏感度为100%，特异度为98.5%。可以得出结论，如果淋巴造影结果为阴性，则无需进行腰淋巴结切除术。
