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闪烁扫描术、超声检查及血管造影术在肝脏局限性疾病中的应用及效果(作者译)

[Use and effectiveness of scintigraphy, sonography and angiography in circumscribed disease of the liver (author's transl)].

作者信息

Pokieser H, Czembirek H, Mayrhofer H, Urbanek A, Kahn P, Weiss W, Base W

出版信息

Rontgenblatter. 1977 Feb;30(2):53-63.

PMID:190667
Abstract

The effectiveness of scintigraphy, sonography and angiography is compared in a material of 140 cases of circumscribed disease of the liver. Typical clinical starting points are defined as points of reference of the diagnostic techniques. Clinical diagnosis is very safe in cases of secondary blastoma and hepatocellular carcinoma of the liver. Since the great majority of these conditions cause space-occupying lesions of the liver, problems of radiologic diagnosis are confined to the smaller number of clinically ill-defined lesions. For the diagnosis of secondary blastomas and cystic process of all kinds, scintigraphy and sonography are not improved by angiography. Solid space-occupying lesions of unknown origin, however, can only be recognized with angiography. Histology of both benign and malignant processes will be correct in more than 90% of cases.

摘要

在140例肝脏局限性疾病的病例材料中,对闪烁扫描、超声检查和血管造影的有效性进行了比较。典型的临床起始点被定义为诊断技术的参考点。在继发性胚细胞瘤和肝细胞肝癌病例中,临床诊断非常可靠。由于这些病症中的绝大多数会导致肝脏占位性病变,放射学诊断问题仅限于少数临床定义不明确的病变。对于继发性胚细胞瘤和各种囊性病变的诊断,血管造影并不能提高闪烁扫描和超声检查的效果。然而,起源不明的实性占位性病变只能通过血管造影来识别。良性和恶性病变的组织学诊断在90%以上的病例中是正确的。

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