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[霍奇金病淋巴管造影术的重新评价。与109例一期分期剖腹术的比较(作者译)]

[Reappraisement of lymphangiography in Hodgkin's disease. Comparison with 109 primary staging laparatomies (author's transl)].

作者信息

Teske H J, Beersiek F, Höffken K, Heckemann R

出版信息

Radiologe. 1978 Oct;18(10):388-91.

PMID:704830
Abstract

Accuracy of lymphangiography was estimated in 109 patients with Hodgkin's disease by comparing its results with those of primary staging laparotomy. Accurate lymphangiographic diagnosis was achieved in 90% of involved and 85% of non-involved para-aortic lymph nodes, respectively. 11 of 12 false-positive cases were due to over-interpretation of lymph nodes exhibiting no enlargement but showing filling defects. Involvement without enlargement of lymph nodes appears to be a rare, even in young patients. Although staging laparotomy is of advantage, particularly when other methods fail to give reliable results, lymphangiography is still a valuable method for staging of Hodgkin's disease.

摘要

通过将109例霍奇金病患者的淋巴管造影结果与一期分期剖腹术的结果进行比较,评估了淋巴管造影的准确性。在受累的主动脉旁淋巴结中,淋巴管造影诊断准确率为90%,在未受累的主动脉旁淋巴结中为85%。12例假阳性病例中有11例是由于对未增大但有充盈缺损的淋巴结过度解读所致。即使在年轻患者中,无淋巴结增大的受累情况似乎也很罕见。尽管分期剖腹术具有优势,特别是当其他方法无法给出可靠结果时,但淋巴管造影仍是霍奇金病分期的一种有价值的方法。

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