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目的:通过对临床诊治结果的分析,对磁共振间接淋巴系统造影法在诊断宫颈癌淋巴结转移中的效果进行评估。方法:选取近年来在平顶山市第二人民医院治疗的21例Ia2—Ⅱa期患者,进行磁共振检查前,不对进行盆腔手术或放疗,而是在患者双足趾间或外阴、宫颈间质等处注射欧乃影造影剂,通过磁共振间接淋巴造影,观察前哨、盆腔淋巴管引流及淋巴结的转移情况。对于这一阶段的患者,我们均采取切除子宫和盆腔淋巴清扫手术。结果:本组21例患者,均能清楚地观察到淋巴结的状体及淋巴走向。其中,4例淋巴造影阳性患者术后病理淋巴结为阳性;1例造影显示为右腹股沟淋巴结转移的患者,术后病理显示为右髂内淋巴转移;呈现阴性的有17例,术后淋巴结检查结果仍为阴性,1例为假阴性,病理显示左闭孔淋巴结有1/1转移。结论:对宫颈癌患者行磁共振间接淋巴造影,能够有效显示盆腔引流区域淋巴管淋巴结的解剖形态,对于评价前哨淋巴结状态及诊断宫颈癌淋巴转移是切实可行的,可为临床治疗提供科学有效的依据。
OBJECTIVE: To evaluate the clinical effect of MR indirect lymph system angiography in the diagnosis of cervical lymph node metastasis by analyzing the clinical diagnosis and treatment results. Methods: Twenty-one patients with stage Ia2-Ⅱa who were treated in the Second People’s Hospital of Pingdingshan City in recent years were selected before pelvic surgery or radiotherapy for MR examination. Injection of canine shadow contrast agent, indirect magnetic resonance lymphography, observation sentinel, pelvic lymphatic drainage and lymph node metastasis. For this phase of the patient, we have taken hysterectomy and pelvic lymphadenectomy. Results: Twenty-one patients in this group were able to clearly observe the lymphoid body and lymphoid lymph nodes. Among them, 4 cases of lymphadenectomy positive postoperative pathological lymph nodes were positive; 1 case of angiography showed right inguinal lymph node metastasis, postoperative pathology showed right iliac lymphatic metastasis; showed negative in 17 cases, postoperative lymph node test results Still negative, 1 case of false negative, pathological findings of left obturator lymph nodes 1/1 metastasis. Conclusion: Indirect lymphography with magnetic resonance imaging in patients with cervical cancer can effectively display the lymphatic node anatomy of pelvic drainage area, which is feasible for evaluating sentinel lymph node status and diagnosing lymphatic metastasis of cervical cancer, and can provide scientific and effective treatment for cervical cancer in accordance with.