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约20年前,在美国斯坦福大学对首批何杰金氏病患者采用了诊断性剖腹探查和脾切除术。这些病人是早期随机性临床试验的一部分,以比较各种放疗的方案,包括对Ⅰ、Ⅱ、Ⅲ期患者受累区域的照射。被选择作手术的病人,均因有可疑的腹膜后淋巴结、脾和/或肝脏受累的临床和放射学的证据。诊断性剖腹探查术对确定脾脏和肝脏的受累(前者常见,后者少见),比其他任何方法要准确得多.通过手术还可以了解腹腔内淋巴结受累的情况。此
About 20 years ago, at the Stanford University in the United States, diagnostic laparotomy and splenectomy were performed on the first patients with Hodgkin’s disease. These patients were part of an early randomized clinical trial to compare various radiation regimens, including exposure to areas affected by patients with stage I, II, and III. Patients who were selected for surgery were clinical and radiological evidence of suspected retroperitoneal lymph nodes, spleen, and/or liver involvement. Diagnostic laparotomy is more accurate than any other method to determine the involvement of the spleen and the liver (the former is common, the latter is rare). Through surgery can also understand the situation of intra-abdominal lymph node involvement. this