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[超声检查与计算机断层扫描在肝包虫病肝脏表现中的对比]

[Sonography vs. computer tomography in liver manifestations of echinococcosis].

作者信息

Otto R, Woodtli W, Ammann R

出版信息

Dtsch Med Wochenschr. 1982 Nov 12;107(45):1717-21. doi: 10.1055/s-2008-1070194.

DOI:10.1055/s-2008-1070194
PMID:7140551
Abstract

Hepatic echinococcosis generally gives rise to typical signs by ultrasound and computed tomography, even though a relatively large number of conditions has to be considered in the differential diagnosis. Comparing the two methods in 29 patients with manifestations of hepatic involvement by echinococcosis it was demonstrated that ultrasound is only slightly inferior, in cases of small-size involvement, which fails to be diagnosed as focal disease of the liver parenchyma. But ultrasound is the primary method of investigation, especially when the differential diagnosis is still open, and it is preferred for serial studies during and after treatment. Computed tomography is the method of choice particularly when it is necessary pre-operatively to document involvement beyond the liver itself.

摘要

肝包虫病通常通过超声和计算机断层扫描产生典型征象,尽管在鉴别诊断中必须考虑相对较多的情况。对29例有肝包虫病累及表现的患者的这两种方法进行比较,结果表明,在小范围累及且未能诊断为肝实质局灶性疾病的情况下,超声仅略逊一筹。但超声是主要的检查方法,尤其是在鉴别诊断仍不明确时,并且在治疗期间和治疗后进行系列研究时更受青睐。计算机断层扫描是首选方法,特别是在术前需要记录肝脏以外的累及情况时。

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