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~(99m)Tc—Dextran淋巴显像在恶性淋巴瘤诊断和治疗中的临床应用
引用本文:张凤春,张秀梅,姜玉珍,卢振霞,赵美蓉,罗云霄,杨国珍.~(99m)Tc—Dextran淋巴显像在恶性淋巴瘤诊断和治疗中的临床应用[J].中国肿瘤临床,1994(4).
作者姓名:张凤春  张秀梅  姜玉珍  卢振霞  赵美蓉  罗云霄  杨国珍
作者单位:白求恩医科大学第三临床学院血液化疗科 长春市130021(张凤春,张秀梅,姜玉珍,卢振霞,赵美蓉),白求恩医科大学第三临床学院核医学科 长春市130021(罗云霄),舒兰县医院核医学科 进修生(杨国珍)
摘    要:本文探讨了~(99m)Tc—Dextran淋巴显像在恶性淋巴瘤诊断和治疗中的应用.结果表明:(1)~(99m)Tc—Dextran淋巴显像有一定可靠性,对恶性淋巴瘤临床分期有较好应用价值,特别对腹膜后淋巴瘤更为重要,本组63.5%病人改变了临床分期,可指导临床治疗和判断疗效.(2)~(99m)Tc—Dextran淋巴显像可确定淋巴瘤所在淋巴链中位置,同时对检测淋巴回流也是一种较好的方法.(3)本方法不需破坏淋巴管,因此也是淋巴管内注入抗癌药物必要的筛选手段.

关 键 词:高分子右旋糖酐  淋巴显像  恶性淋巴瘤  淋巴管内化疗

Lymphoscintigraphy with ~(99m)Tc-Dextran in the Diagnosis and Treatment of Lymphoma
Zhang Feng-Chun et al.Lymphoscintigraphy with ~(99m)Tc-Dextran in the Diagnosis and Treatment of Lymphoma[J].Chinese Journal of Clinical Oncology,1994(4).
Authors:Zhang Feng-Chun
Institution:Zhang Feng-Chun et alDepartment of Hematology/Oncology 3rd Teaching Hospital,Bethune University of Medical Sciences,Changchun,Jilin
Abstract:Lymphoscintigraphy with 99mTc-Dextran is helpful in staging of lymphoma,especially for those situat-ed in retroperitoneum. 63. 5% of the patients in this series changed their clinical stage after lymphoscintigraphy. Meanwhile, 99mTc-Dextran besides its therapeutic effect also enables follow-up judgement following treatment. Lymphoscintigraphy with 99mTc-Dextran can define the involved lymph nodes in lymphatic chains, and is useful in assessing lymphosta-sis. Lymphoscintigraphy does not jeopardize lymphatic vessel, therefore, it provides an avenue to assess the therapeutic effect of chemotherapy.
Keywords:Lymphoma  Lymphoscintigraphy  Chemotherapy  Dextran
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