当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2009年
14期
42-45
,共4页
陈艳%张灿%史河水%王玉锦%吴晟%刘永华%李友林%田志梁
陳豔%張燦%史河水%王玉錦%吳晟%劉永華%李友林%田誌樑
진염%장찬%사하수%왕옥금%오성%류영화%리우림%전지량
体层摄影术,X线计算机%淋巴瘤%恶性%化疗
體層攝影術,X線計算機%淋巴瘤%噁性%化療
체층섭영술,X선계산궤%림파류%악성%화료
Tomography,X-ray computed%Lymphoma%Malignant Chemical therapy
目的 评价CT对颈胸部恶性淋巴瘤治疗疗效判断的准确性以及在其随访中的价值;初步探讨恶性淋巴瘤强化程度与治疗疗效之间的关系.方法 收集经病理证实的22例颈、胸部恶性淋巴瘤,所有患者在化疗前及化疗后均行多次CT扫描,比较淋巴瘤治疗前后的变化情况;将恶性淋巴瘤分为轻度强化、中度强化、明显强化,比较不同强化程度淋巴瘤的化疗疗效.结果 22例患者三个月内均复查,其中2例完全缓解,15例部分缓解,5例无变化.本组行CT平扫加增强扫描的21例患者中,7例淋巴瘤为轻度强化,三个月内复查,有 5例部分缓解,1例完全缓解,1例无变化;13例淋巴瘤为中度强化,三个月内复查有 10例部分缓解,1例完全缓解,2例无变化;1例淋巴瘤明显强化,复查显示部分缓解.统计结果显示轻度强化与中度强化淋巴瘤的化疗疗效间无显著性差异.结论 作为一种无创、简便的方法,CT能对恶性淋巴瘤的治疗疗效作出较为准确的评价.
目的 評價CT對頸胸部噁性淋巴瘤治療療效判斷的準確性以及在其隨訪中的價值;初步探討噁性淋巴瘤彊化程度與治療療效之間的關繫.方法 收集經病理證實的22例頸、胸部噁性淋巴瘤,所有患者在化療前及化療後均行多次CT掃描,比較淋巴瘤治療前後的變化情況;將噁性淋巴瘤分為輕度彊化、中度彊化、明顯彊化,比較不同彊化程度淋巴瘤的化療療效.結果 22例患者三箇月內均複查,其中2例完全緩解,15例部分緩解,5例無變化.本組行CT平掃加增彊掃描的21例患者中,7例淋巴瘤為輕度彊化,三箇月內複查,有 5例部分緩解,1例完全緩解,1例無變化;13例淋巴瘤為中度彊化,三箇月內複查有 10例部分緩解,1例完全緩解,2例無變化;1例淋巴瘤明顯彊化,複查顯示部分緩解.統計結果顯示輕度彊化與中度彊化淋巴瘤的化療療效間無顯著性差異.結論 作為一種無創、簡便的方法,CT能對噁性淋巴瘤的治療療效作齣較為準確的評價.
목적 평개CT대경흉부악성림파류치료료효판단적준학성이급재기수방중적개치;초보탐토악성림파류강화정도여치료료효지간적관계.방법 수집경병리증실적22례경、흉부악성림파류,소유환자재화료전급화료후균행다차CT소묘,비교림파류치료전후적변화정황;장악성림파류분위경도강화、중도강화、명현강화,비교불동강화정도림파류적화료료효.결과 22례환자삼개월내균복사,기중2례완전완해,15례부분완해,5례무변화.본조행CT평소가증강소묘적21례환자중,7례림파류위경도강화,삼개월내복사,유 5례부분완해,1례완전완해,1례무변화;13례림파류위중도강화,삼개월내복사유 10례부분완해,1례완전완해,2례무변화;1례림파류명현강화,복사현시부분완해.통계결과현시경도강화여중도강화림파류적화료료효간무현저성차이.결론 작위일충무창、간편적방법,CT능대악성림파류적치료료효작출교위준학적평개.
Objective To evaluate the value of CT in the therapy effect of cervical and thoracic malignant lymphoma as well as in the follow-up, to discuss the relationship between the enhancement degree of lymphoma leasions and the therapy effect. Methods 22 cases of cervical and thoracic malignant lymphoma were study retrospectively. CT scanning was performed in all patients before therapy and after therapy. The change of lymphoma was compared before chemical therapy and after chemical therapy. According to the enhancement degree, malignant lymphoma was divided into slight enhancement, moderate enhancement and obvious enhancement. The therapy effect of lymphoma of different enhancement was compared. Results CT follow-up were performed in 22 patients in 3 months. 2 cases were complete remission, 15 cases were partial remission, 5 cases were unchanged. 7 cases were slight enhancement in 21 patients who performed both plain scanning and enhanced scanning, 13 cases were moderate enhancement and 1 case were obvious enhancement. There was no difference in the therapy effect between the slight enhancement lymphoma and the moderate enhancement lymphoma. Conclusion As an invasive and simple method, CT can provide accuracy information for the therapy effect of malignant lymphoma.
