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在淋巴瘤中,有无脏器累及尤其是肝脏累及,对患者以后的治疗计划有很大影响。据统计,在何杰金病时,6～10％患者治疗前已有肝脏累及,而在非何杰金淋巴瘤,累及率约为20％。肝脏是否累及一般只能通过剖腹探察才能肯定诊断。本文介绍腹腔镜检查探查肝脏是否累及,认为这是一可靠而简便的方法。作者等对95例患者,其中34例何杰金病,61例非何杰金淋巴瘤,进行100次腹腔镜检查。在这100次检查中,89次进行了肝活组织检查,每次采取标本1～4块,共289块,检查结果发现21例有肝脏病变。肉眼检查时,这类病变可呈三种形态:(1)突出结节,质硬,色
In lymphomas, whether or not there is organ involvement, especially liver involvement, has a great influence on the patient’s subsequent treatment plan. According to statistics, in Hodgkin’s disease, 6 to 10% of patients had liver involvement before treatment, and in non-Hodgkin’s lymphoma, the involvement rate was about 20%. Whether the liver is involved can only be diagnosed through laparotomy. This article describes whether laparoscopic examination of the liver is involved, considering it to be a reliable and simple method. The author et al. performed 100 laparoscopic examinations of 95 patients, including 34 cases of Hodgkin’s disease and 61 cases of non-Hodgkin’s lymphoma. In these 100 inspections, liver biopsies were performed 89 times. Each time 1-4 specimens were taken, and a total of 289 specimens were found. 21 cases had liver lesions. When visually inspected, these lesions can be in three forms: (1) prominent nodules, hard and colored