【摘要】 <正> 自1955年Kinmonth首先报道淋巴造影以来,淋巴造影术被认为是检查腹膜后淋巴结病变的一种较为简单、安全而又可靠的方法。国内于60年代初开始应用于乳糜尿和淋巴瘤的诊断,但至今尚未推广。我们现将67例淋巴造影作一分析,探讨其对恶性淋巴瘤的诊断价值。更多还原

【Abstract】 Trans-pedal lymphangiography had been performed on 67 cases of pathologicallyconfirmed malignant lymphoma from 1978 to 1981, of which 26 were Hodgkin’s lym-phoma, 41 non-Hodgkin’s lymphoma. Of these 67 cases, 11 were in stage Ⅰ,30 in stage Ⅱ,20 in stage Ⅲ, and 6 in stage Ⅳ. Of the 41 stage Ⅰ and Ⅱ cases, 12 showed positive lym-phangiograms (29. 3%). In 25 symptom-free stage Ⅰand Ⅱ cases, only 5 showed positivefindings, and in 16 stageⅠ and Ⅱ cases with symptoms, 7 gave positive findings. Eightcases of Hodgkin’s lymphoma were staged by laparotomy, of which 6 could be correlatedwell with the lymphangiograms. In our group of lymphoma, a foamy x-ray pattern is considered to be specific and isthe most common finding (87.5%). A coarse spotty distribution of the contrast media isalso considered as a specific sign, but is less common (12.5%) and it is difficult to defineits diagnostic criteria. Filling defect was seen in 41.8% of the cases and it is less reliablethan the above signs. Lymphatic obstruction is less frequently seen in lymphoma than inmetastatic carcinoma to the lymph nodes, but if present, is a reliable sign.更多还原