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作者复习105例何杰金氏病治疗前的X 线资料。按年龄分为两组,Ⅰ组1～10岁,共39例;Ⅱ组11～15岁,共66例。两组多数均属Ⅱ期或Ⅲ期病变。所有病例均作胸片检查。Ⅰ组14例(36%)有胸内淋巴结增大:13例有纵隔淋巴结累及,其中7例兼有肺门淋巴腺增大;1例仅见肺门淋巴结增大而无纵隔累及;1例有肺实质侵犯与肺门、纵隔淋巴腺增大。Ⅱ组50例(76%)有纵隔淋巴结累及;23例(35%)有肺门淋巴腺增大,其中7例仅在断层片中发现,除1例外,均伴纵隔淋巴腺肿大;9例(14%)有肺实质病变,皆伴有隆突下或同侧肺门淋巴腺增大;4例胸水,均伴有纵隔病变,2例兼有肺实质病变。
The authors reviewed 105 cases of Hodgkin’s disease before treatment of X-ray data. Divided into two groups according to age, Ⅰ group of 1 to 10 years old, a total of 39 cases; Ⅱ group of 11 to 15 years old, a total of 66 cases. Most of the two groups are stage Ⅱ or Ⅲ disease. All cases were for chest X-ray examination. In group Ⅰ, 14 cases (36%) had an increase in intrathoracic lymph nodes: 13 cases had mediastinal lymph nodes involved, of which 7 cases had hilar lymphatic gland enlargement; only 1 case had hilar lymph node enlargement without mediastinal involvement; 1 case had Parenchymal invasion of lung and hilar, mediastinal lymph nodes increased. In group Ⅱ, 50 cases (76%) had mediastinal lymph nodes involvement; 23 cases (35%) had hilar lymphatic gland enlargement, of which 7 cases were only found on the slice, except 1, were accompanied by mediastinal lymph gland enlargement; 9 Cases (14%) had pulmonary parenchymal lesions, both accompanied by subluxated or ipsilateral hilar lymph nodes increased; 4 cases of pleural effusion, were associated with mediastinal lesions, 2 cases of both lung parenchymal lesions.