Beetlestone C A, Wieland W, Lewis E A, Itayemi S O
Clin Radiol. 1977 Nov;28(6):653-8. doi: 10.1016/s0009-9260(77)80051-2.
Lymphograms of 11 patients with histologically proven abdominal tuberculosis have been assessed in an attempt to define a typical pattern of appearance in retroperitoneal lymph glands. Glandular enlargement, poor glandular filling and lymphovascular obstruction were present. A gradient of abnormality with more marked adenopathy in the upper para-aortic chain extending to a lesser involvement below in the iliac chain was demonstrated in keeping with a retrograde spread of the tuberculosis process from the abdominal lymphatics cauded along the retroperitoneal chain. Lymphography may be valuable in cases where data from clinical observations and routine radiological studies is inconclusive in cases of vague abdominal disease.
对11例经组织学证实为腹部结核患者的淋巴造影进行了评估，旨在确定腹膜后淋巴结典型的表现模式。存在淋巴结肿大、淋巴结充盈不佳和淋巴管阻塞。结果显示异常呈梯度变化，腹主动脉旁上组淋巴结肿大更明显，向下延伸至髂组淋巴结受累程度较轻，这与结核病变沿腹膜后链自腹部淋巴管逆行扩散相符。在临床观察和常规放射学检查数据对腹部疾病不明确的情况下，淋巴造影可能具有重要价值。
