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我院自1983年3月至1985年12月间对58例妇癌病人进行了淋巴造影检查,年龄27～74岁(平均年龄57岁)。其中子宫颈癌47例,子宫内膜癌8例,外阴癌、阴道癌、卵巢癌各1例。结果指出淋巴结充盈缺损>10mm是诊断肿瘤转移的重要依据,同时伴有淋巴管梗阻诊断转移更为可靠,淋巴结单纯增大但充盈良好不能诊断为肿瘤转移。该方法对晚期子宫颈癌决定照射部位及子宫内膜癌Ⅱ期以上术中选择性淋巴结切除有指导意义,并指出部分病人对偶氮蓝可能有晚期过敏反应,希引起注意。
Our hospital from March 1983 to December 1985 between 58 cases of cancer patients underwent lymphadenectomy, aged 27 to 74 years (mean age 57 years). Including 47 cases of cervical cancer, 8 cases of endometrial cancer, vulvar cancer, vaginal cancer, ovarian cancer in 1 case. The results showed that the filling defect of lymph nodes> 10mm is an important basis for the diagnosis of tumor metastasis, accompanied by a more reliable diagnosis and metastasis of lymphatic obstruction, simple increase of lymph nodes, but well-filled can not be diagnosed as tumor metastasis. The method is of guiding significance for the treatment of advanced cervical cancer and the choice of selective lymph node dissection in the second or more stages of endometrial cancer. It is pointed out that some patients may have anaphylactic reaction to azo blue and hope to pay attention.