Boger M M, Mordvov S A, Subbotin V M, Kasatkina L G, Poliakova N N
Ter Arkh. 1988;60(7):66-9.
Proceeding from a study of an ultrasound picture of liver focal changes of benign nature in 60 patients a conclusion was made that nonparasitic cysts could be verified on the basis of a typical ultrasound picture and its stability over time. The presence of daughter cysts and septal membranes was indicative of unilocular hydatid disease. Additional laboratory investigations were necessary for the recognition of alveolar hydatid disease. It was desirable that the diagnosis of liver abscess and hematoma should be confirmed by fine needle spot puncture. By their ultrasound picture benign liver tumors did not differ significantly from malignant ones. To exclude the latter fine needle spot puncture was necessary. Hemangioma should be verified by angiography, the rest of benign tumors--by histology.
通过对60例肝脏良性局灶性病变超声图像的研究得出结论:非寄生虫性囊肿可根据典型超声图像及其随时间的稳定性来确诊。存在子囊和分隔膜提示为单房性包虫病。识别肺泡型包虫病需要进行额外的实验室检查。肝脓肿和血肿的诊断宜通过细针穿刺活检来证实。良性肝肿瘤的超声图像与恶性肿瘤无明显差异。为排除恶性肿瘤,需进行细针穿刺活检。血管瘤应通过血管造影确诊,其他良性肿瘤则通过组织学确诊。