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[计算机断层扫描在腹部及腹膜后淋巴瘤诊断中的应用]

[Computed tomography in the diagnosis of abdominal and retroperitoneal lymphosarcomas].

作者信息

Portnoĭ L M, Iureskul I V, Golenkov A K, Shumskiĭ V I

出版信息

Vestn Rentgenol Radiol. 1994 May-Jun(3):19-24.

PMID:7985366
Abstract

Analysis of the data of 87 computer-aided tomographic examinations of patients with peritoneal and retroperitoneal lymphosarcomas permitted the authors single out a peculiar computer-tomographic "semeiotics" of this condition. Four states in computer-tomographic changes of the lymph nodes in this area were distinguished, each of them corresponding to specific clinical manifestations of the suffering. The authors came to such a conclusion as a result of detecting in the same 18 patients of a clear-cut correlation between the type of computer-tomographic semeiotics and lymphosarcoma phase in the process of therapy and after it, during remission. Not denying a high value of computer-aided tomography in the diagnosis of peritoneal and retroperitoneal lymphosarcomas, the authors confirm the well-known diagnostic potentialities of ultrasonic examination and consider that ultrasound should remain the primary diagnostic instrument in such conditions.

摘要

对87例腹膜及腹膜后淋巴肉瘤患者的计算机断层扫描检查数据进行分析后,作者总结出了这种疾病独特的计算机断层扫描“征候学”。该区域淋巴结的计算机断层扫描变化可分为四种状态,每种状态对应特定的临床表现。作者得出这一结论是因为在同一18例患者中发现,计算机断层扫描征候学类型与治疗过程中及缓解期(治疗后)淋巴肉瘤阶段之间存在明显相关性。作者虽不否认计算机断层扫描在腹膜及腹膜后淋巴肉瘤诊断中的高价值,但确认了超声检查众所周知的诊断潜力,并认为在这种情况下超声仍应作为主要诊断工具。

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