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[腹部器官的超声研究。II. 其在肝脏疾病中的诊断价值]

[Ultrasonic studies of the abdominal organs. II. Its diagnostic value in liver diseases].

作者信息

Mechkov G, Grigorov N, Karamfilova R

出版信息

Vutr Boles. 1982;21(1):36-45.

PMID:7090356
Abstract

Five hundred fifty three patients with diffuse and focal liver processes were examined via ultrasound tomography, with confirmed diagnosis by punch biopsy according to Mengini (23), laparoscopy (437), laparotomy (58), at necropsy (30) and with clinical accurate diagnosis in liver stasis (5). Accurate echographic diagnosis was made in 65.9 per cent of chronic hepatitis (from 88 patients), in 68.9 per cent of liver cirrhosis (from 228 patients), in 81.8 per cent of liver steatosis (from 33 patients). In 71 patients with liver cirrhosis and ascites the accurate diagnosis was made in 89.3 per cent. The coincidence between ultrasound and morphological diagnosis in metastatic liver carcinomas in 80.2 per cent (from 91 patients), in primary--72.2 per cent (from 18 patients) and in echinococcus cysts--96,3 per cent (from 82 patients). Ultrasound tomography has undoubted diagnostic value in diffuse and focal solid and cyst formations of liver in particular. The results obtained, for the proper interpretation, are necessary to be compared with those from the other investigation methods and the clinical data in the process of making the final diagnosis.

摘要

对553例患有弥漫性和局灶性肝脏病变的患者进行了超声断层扫描检查,并根据梅尼尼(23例)、腹腔镜检查(437例)、剖腹手术(58例)、尸检(30例)以及对肝瘀血进行临床准确诊断(5例)来确诊。在88例慢性肝炎患者中,超声准确诊断率为65.9%;在228例肝硬化患者中,超声准确诊断率为68.9%;在33例肝脂肪变性患者中,超声准确诊断率为81.8%。在71例伴有腹水的肝硬化患者中,超声准确诊断率为89.3%。在91例转移性肝癌患者中,超声与形态学诊断的符合率为80.2%;在18例原发性肝癌患者中,符合率为72.2%;在82例棘球蚴囊肿患者中,符合率为96.3%。超声断层扫描在肝脏弥漫性和局灶性实性及囊性病变中具有毋庸置疑的诊断价值。为了做出最终诊断,所获得的结果需要与其他检查方法的结果以及临床数据进行比较,以便进行正确解读。

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