Daneman A, Martin D J, Fitz C R, Chan H S
J Comput Tomogr. 1983 Feb;7(1):115-22. doi: 10.1016/0149-936x(83)90029-2.
In 17 children with Hodgkin's disease, abdominal computed tomography (CT) and bipedal lymphangiography findings were correlated in an attempt to assess the accuracy of CT in excluding the presence of retroperitoneal and pelvic lymphadenopathy. There was excellent correlation in 14 (82%) patients. In 13 of these, both studies were negative; in one, enlarged nodes were noted in the pelvis on both studies, which otherwise revealed no abnormality in the remainder of the abdomen. In one other patient, CT revealed lymphadenopathy high in the abdomen and these nodes were not filled with contrast medium at lymphangiography. Lymphangiography revealed pelvic lymphadenopathy in 2 (12%) patients in whom the CT scan was initially interpreted as normal. If strict attention is paid to adequate opacification of the bowel and retroperitoneal vasculature, CT is an accurate modality for excluding retroperitoneal and pelvic lymphadenopathy, particularly in older children.
对17例霍奇金病患儿进行腹部计算机断层扫描（CT）和双足淋巴管造影检查，并对结果进行对比，以评估CT排除腹膜后和盆腔淋巴结病的准确性。14例（82%）患者的检查结果具有良好的相关性。其中13例两项检查均为阴性；1例两项检查均显示盆腔淋巴结肿大，而腹部其他部位未见异常。另有1例患者CT显示上腹部淋巴结病，淋巴管造影时这些淋巴结未被造影剂充盈。2例（12%）患者淋巴管造影显示盆腔淋巴结病，而最初CT扫描结果被解读为正常。如果严格注意使肠道和腹膜后血管充分显影，CT是排除腹膜后和盆腔淋巴结病的准确方法，尤其对于大龄儿童。
