Glees J P, Taylor K J, Gazet J C, Peckham M J, McCready V R
Clin Radiol. 1977 Mar;28(2):233-8. doi: 10.1016/s0009-9260(77)80116-5.
Complementary techniques to laparotomy are required to monitor patients with lymphomas both before and after treatment. Our preliminary experience with grey-scale ultrasonography is presented. Fifty-two patients, themajority with Hodgkin's disease or other lymphomas, were examined with ultrasound equipment which was custom built. The essential difference between grey-scale equipment and conventional machines is the ability to display the internal consistency of soft organs. Of 20 spleens examined prior to splenectomy, the ultrasonic scan was considered suggestive of involvement in seven of nine that showed histological evidence of Hodgkin's disease. Threeof 11 histologically negative spleens were considered to be positive preoperatively and two of nine read as negative on the scan contained histological disease. Fifty livers were examined with ultrasound. Of seven patients with histological involvement four were read as positive and three as negative and six of 43 patients with no macroscopic or microscopic evidence of liver infiltration were also considered to have a positive ultrasonic scan. Ultrasonic scanning has proved useful for demonstrating enlarged lymph nodes in the porta hepatis, upper para-aortic lymph nodes and bulky mesenteric nodes. On the basis of these preliminary observations the potential value and application of the technique is discussed.
对于淋巴瘤患者，在治疗前后都需要采用剖腹术的辅助技术来进行监测。本文介绍了我们在灰阶超声检查方面的初步经验。我们使用定制的超声设备对52例患者进行了检查，其中大多数患者患有霍奇金病或其他淋巴瘤。灰阶设备与传统机器的本质区别在于能够显示软组织器官的内部结构。在20例脾切除术前检查的脾脏中，超声扫描显示，9例经组织学证实患有霍奇金病的脾脏中有7例提示有受累情况。11例组织学检查为阴性的脾脏中，有3例术前被认为呈阳性，而扫描显示为阴性的9例中有2例存在组织学病变。对50例肝脏进行了超声检查。在7例有组织学受累的患者中，4例被判定为阳性，3例为阴性；在43例无肝脏浸润的宏观或微观证据的患者中，有6例超声扫描也被认为呈阳性。超声扫描已被证明有助于显示肝门、主动脉旁上部淋巴结和肿大的肠系膜淋巴结。基于这些初步观察结果，本文讨论了该技术的潜在价值和应用。
