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作 者:贺俊霞[1] 施佳伟[1] 云星[2] 洪颖[1] 方婧[3] 周正扬[4] 俞海平[4] 胡娅莉[1] 朱斌[4]
机构地区:[1]南京中医药大学中西医结合鼓楼临床医学院,江苏省210008 [2]南京医科大学鼓楼临床医学院 [3]南京大学医学院附属鼓楼医院妇产科 [4]南京中医药大学中西医结合鼓楼临床医学院放射科,江苏省210008
出 处:《江苏医药》2013年第16期1898-1900,I0001,共4页Jiangsu Medical Journal
基 金:南京市医学发展重点项目(ZKX08021)
摘 要:目的应用间质磁共振淋巴造影术(IMRL)对宫颈癌Ⅰa1期患者宫颈锥切术后进行随访,了解盆腔淋巴系统的转移情况。方法经宫颈锥切病理确诊为宫颈癌Ⅰa1期的患者8例,术后6个月开始行IMRL复查,每年1次,观察盆腔淋巴系统变化。结果 1例已复查4年,3次MR检查均未见盆腔淋巴转移;7例完成2年以上MR淋巴造影随访。1例随访1年11个月,其中1例术后半年左侧淋巴系统显影不良,6个月后再次复查显影良好。8例均未出现盆腔淋巴转移。结论 IMRL能很好反映宫颈癌Ⅰa1期锥切术后盆腔淋巴系统情况,是重要的随访方法。Objective To follow up the pelvic lymphatic metastasis of cervical carcinoma patients with stage Ⅰ al after cervical conization with interstitial magnetic resonance lymphography (IMRL). Methods Eight patients with cervical cancer stage Ⅰ al after cervical conization were followed-up with IMRL, which started in the 6th month after surgery and once per year thereafter. Results One case has been followed up for more than 4 years and 7 cases more than 2 years. Lymphatic vessel drainage and lymph node grouping of 8 cases were clearly visualized except for one case, in whom the pelvic lymphatic image at the first time of follow up was not fine but was normal 6 months later. There was no case showing pelvic lymphatic metastasis during follow up in 8 cases. Conclusion IMRL can show clearly the extent and shape of pelvic lymphatic vessel drainage and may be taken as an important indicator for following up the patients underwent cervical conization for cervical cancer stage Ⅰal.
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