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上下腔静脉造影以及奇静脉造影和腹膜后静脉造影:方法、适应证及结果(作者译)

[Superior and inferior cavography as well as azygography and retroperitoneal venography: methods, indications and results (author's transl)].

作者信息

Düx A

出版信息

Rontgenblatter. 1976 Jun;29(6):263-77.

PMID:973100
Abstract

The diagnostic spectrum for venography of the trunk is broad. During the traditional superior and inferior cavography, which should be used for clinical bone marrow functional blockage in connection with a confirmed tumor or for thrombosis, the combined retroperitoneal venography and cavography which we developed for clinical use as well as direct azygography provide valuable supplementary information which can be significant especially for preoperative questions. In the case of carcinoma of the esophagus or stomach, the question whether or not the tumor can be surgically removed or whether the tumor is already inoperable may be answered before surgery. In addition, direct azygography is suitable as a method to seach for lymph nodes metastases in carcinomas of the lung, stomach, kidney, adrenals and pancreas which cannot be ascertained via mediastinalscopy, and for systemic diseases. In addition to the prognostic evaluation of the tumor and the additional preoperative evaluation of neighboring tumors, various bone diseases of the lumbar vertebrae, e.g., inflammatory, tumerous and traumatic changes in the spine, may be localized on the retroperitoneal venogram and cavogram. They can also be used successfully to seach for metastases or in the case of a dislocation of an intervertebral disk. The execution of the various methods is relatively simple and they may be performed on a patient capable of surgery.

摘要

躯干静脉造影的诊断范围很广。在传统的上下腔静脉造影中,该造影应用于确诊肿瘤相关的临床骨髓功能阻滞或血栓形成,我们开发的用于临床的联合腹膜后静脉造影和腔静脉造影以及直接奇静脉造影提供了有价值的补充信息,这对于术前问题可能尤为重要。对于食管癌或胃癌患者,术前可判断肿瘤是否能够手术切除或是否已无法手术切除。此外,直接奇静脉造影适用于通过纵隔镜检查无法确定的肺癌、胃癌、肾癌、肾上腺癌和胰腺癌的淋巴结转移的检查,以及全身性疾病的检查。除了对肿瘤进行预后评估和对邻近肿瘤进行额外的术前评估外,腰椎的各种骨病,如脊柱的炎症、肿瘤和创伤性改变,可在腹膜后静脉造影和腔静脉造影上定位。它们还可成功用于寻找转移灶或诊断椎间盘脱位。各种检查方法的操作相对简单,可在适合手术的患者身上进行。

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