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慢性肝病:超声图像与腹腔镜检查及活检的比较

Chronic liver disease: comparison of ultrasound patterns with laparoscopy and biopsy.

作者信息

Martínez-Noguera A, Calonge E, Coscojuela P, Soriano G, Martí-Vicente A, Teixidó M

机构信息

Department of Diagnostic Radiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

出版信息

J Clin Ultrasound. 1993 Jun;21(5):325-30. doi: 10.1002/jcu.1870210506.

DOI:10.1002/jcu.1870210506
PMID:8514900
Abstract

We studied the correlation of ultrasound patterns with laparoscopy and biopsy results in 140 patients with chronic liver disease (CLD). Of the 23 patients with a normal ultrasound pattern (N), biopsies revealed CLD in 18; in the 22 patients with unspecified hepatomegaly (H), biopsies disclosed CLD in 20; and in the 64 patients with a homogeneous bright pattern (HB), biopsies showed CLD in 62. All 22 cases of heterogeneous bright pattern (HTB) and all 9 patients with nodular pattern (ND) had CLD. In conclusion, it appears that the HTB and nodular ultrasound patterns confirm the presence of CLD, the HB pattern is suggestive of CLD, but diagnosis of CLD cannot be made from N and H patterns.

摘要

我们研究了140例慢性肝病(CLD)患者的超声图像与腹腔镜检查及活检结果之间的相关性。在23例超声图像正常(N)的患者中,活检显示18例存在CLD;在22例肝脏肿大未明确类型(H)的患者中,活检显示20例存在CLD;在64例均匀明亮型(HB)的患者中,活检显示62例存在CLD。所有22例不均匀明亮型(HTB)和所有9例结节型(ND)患者均存在CLD。总之,HTB和结节型超声图像可确诊CLD,HB型超声图像提示可能存在CLD,但不能根据N型和H型超声图像诊断CLD。

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引用本文的文献

1
Superiority of laparoscopy compared to ultrasonography in diagnosis of widespread liver diseases.腹腔镜检查在广泛肝脏疾病诊断中相对于超声检查的优越性。
Dig Dis Sci. 1997 Mar;42(3):546-8. doi: 10.1023/a:1018895009305.