Boger M M, Mordvov S A, Pechenkina L G, Poliakova N N
Ter Arkh. 1987;59(5):91-5.
The authors stressed the point that investigations conducted by them, showed a high value of ultrasonic scanning in the recognition of diffuse liver lesions. Ultrasonic diagnosis of persisting and active forms of chronic hepatitis can be only hypothetical because of the absence of pathognomonic echographic signs of this type of pathology. On echography fatty degeneration was characterized by hepatomegaly, blurred liver contours, preserved elasticity of the organ and diffuse homogeneous enhancement of its structure. Diffuse focal enhancement of the echo structure of the liver, its irregular surface, and an increase in the liver elasticity and echo permeability indicated a possibility of liver cirrhosis, and the combination of these signs with ascites or dilatation of the portal veins confirmed it. There was no relationship of an ultrasonic picture with clinical symptoms and laboratory findings.
作者强调,他们所进行的研究表明,超声扫描在识别弥漫性肝脏病变方面具有很高的价值。由于缺乏这种类型病理学的特征性超声征象,慢性肝炎持续和活动形式的超声诊断只能是假设性的。在超声检查中,脂肪变性的特征为肝脏肿大、肝轮廓模糊、器官弹性保留及其结构的弥漫性均匀增强。肝脏回声结构的弥漫性局灶性增强、其表面不规则以及肝脏弹性和回声通透性增加提示有肝硬化的可能性,而这些征象与腹水或门静脉扩张相结合则可确诊。超声图像与临床症状和实验室检查结果之间没有关联。