Matsutani S, Fukuzawa T, Ebara M, Ohto M
First Department of Medicine, School of Medicine, Chiba University.
Nihon Rinsho. 1994 Jan;52(1):56-62.
Ultrasound is now widely used in the diagnosis of liver diseases. Applications of ultrasound in the diagnosis of liver cirrhosis are reviewed in this paper. Characteristic findings of liver cirrhosis in ultrasound are nodular liver surface, round edge, and hypoechoic nodules in liver parenchyma which represent regenerative nodules of cirrhotic liver. Detection of hypoechoic nodule more than 10 mm is important in the early diagnosis of hepatocellular carcinoma. Detection of splenomegaly, ascites, and portosystemic collaterals is possible by ultrasound. Evaluation of portosystemic collaterals is beneficial in the management of esophagogastric varices and portosystemic encephalopathy. Ultrasound is useful in the non-invasive diagnosis and long-term management of cirrhotic patients.
超声目前广泛应用于肝脏疾病的诊断。本文综述了超声在肝硬化诊断中的应用。肝硬化在超声检查中的特征性表现为肝脏表面结节状、边缘圆润以及肝实质内的低回声结节,这些低回声结节代表肝硬化肝脏的再生结节。检测直径超过10毫米的低回声结节对肝细胞癌的早期诊断很重要。超声能够检测脾肿大、腹水和门体侧支循环。评估门体侧支循环有助于食管胃静脉曲张和门体性脑病的管理。超声对于肝硬化患者的无创诊断和长期管理很有用。