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作者选择了 13例符合行根治性膀胱切除的膀胱癌患者 ,膀胱内肿瘤旁注入放射性示踪剂及蓝色染料标记物 ,1h后通过淋巴闪烁显像观察淋巴引流及发现前哨淋巴结。术中切除膀胱前通过蓝染及检测放射性增高来确认前哨淋巴结 ,切除后与其它常规切除的淋巴结作组织病理学比较。结果显
The authors selected 13 patients with bladder cancer who underwent curative radical cystectomy. Radioactive tracers and blue dye markers were injected into the intravesical tumor, and lymphatic drainage and sentinel lymph node dissection were observed by lymphatic flash imaging 1 h later. Sentinel lymph nodes were confirmed by blue staining and radioactive increase before resection of the bladder during operation. Histopathology was compared with other conventionally resected lymph nodes. The result is obvious