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[纤维光学内镜演示、肠淋巴管扩张症的发病率及临床意义]

[Fiber-optic endoscopy demonstration, incidence and clinical significance of intestinal lymphangiectasis].

作者信息

Fürstenau M, Kratzsch K H, Zimmermann S, Büttner W

出版信息

Z Gesamte Inn Med. 1977 Nov 15;32(22):638-40.

PMID:602319
Abstract

The intestinal lymphangiectasia can be proved enteroscopically, laparoscopically as well as histologically after preceding aimed or unaimed biopsy. In 2,250 fibre-endoscopic examinations of the upper gastrointestinal tract we found 54 times endoscopically and 48 times also histologically a lymphangiectasia. Of these 54 patients 9 had an advanced carcinoma of the stomach. The evoking causes of the lymphangiectasia are discussed. When an intestinal lymphagniectasia is diagnosed it should always be sought for an evoking cause and last not least should be thought of a primary or secondary neoformation in the region of the epigastrium.

摘要

肠道淋巴管扩张症可通过内镜、腹腔镜检查以及在进行有针对性或无针对性活检后进行组织学检查来证实。在2250例上消化道纤维内镜检查中,我们发现54例内镜下有淋巴管扩张,其中48例同时有组织学证据。在这54例患者中,9例患有进展期胃癌。文中讨论了淋巴管扩张症的诱发原因。当诊断出肠道淋巴管扩张症时,应始终寻找诱发原因,尤其要考虑上腹部区域的原发性或继发性新生物。

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