【摘要】 本文对50例淋巴造影术用于妇科恶性肿瘤的资料进行分析,根据其中32例有病理检查者对照,淋巴造影术对妇科恶性肿瘤的诊断正确率,达81.3％。文章介绍了淋巴造影术的操作方法、造影表现、手术、病理检查及统一确定各组淋巴结位置所采用的研究方法。着重讨论了在淋巴造影诊断中应如何鉴别假阳性、假阴性及其临床价值。本组有16例出现程度不等的并发症,但无不良后果。更多还原

【Abstract】 The clinical data of lymphography on 50 cases of gynecological malignant tumors. (45 cases of cervical cancer and 5 of ovarian cancer) were analysed and the procedures for lymphography and diagnostic criteria of the X-ray film were also described. Lymphograms, laparotomy findings and histological studies were evaluated according to the lymph node grouping, silver ring localization, pelvic model film and the chlorophyll mixture as contrast medium so that the lymphography appearance and the position of lymph nodes in each group were standardized. The chlorophyll added into the contrast medium for lymphography proved to be helpful for a complete pelvic lymphodectomy. Among 50 cases lymphograms, 32 were checked by histopathological sections; and in 26 of the 32 cases (81.3％) the diagnosis was confirmed. However, there were 5 false positive cases and one false negative. The problem of misdiagnosis was discussed and the means of the prevention of misdiagnosis were suggested.更多还原