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[肝脏疾病的超声鉴别诊断:与闪烁扫描法及血管造影术的相关性(作者译)]

[Differential diagnosis of liver disease by means of sonography: correlation with scintigraphy and angiography (author's transl)].

作者信息

Mayrhofer H P, Czembirek H, Imhof H, Nowotny C, Pokieser H

出版信息

Wien Klin Wochenschr. 1977 Jun 24;89(13):442-7.

PMID:878489
Abstract

The value of sonography of the liver is assessed and compared with angiography and scintigraphy on the basis of case material from 102 patients, representing localized and diffuse liver processes. The diagnostic accuracy depends on the characteristic acoustic impedance differences in the examined tissue. Diffuse liver disease and processes without clearly defined acoustic borderlines may cause diagnostic difficulties and differentiation can only be attempted by additional clinical information. Defined tumours represent the main field of application. The combined use of ultrasound, scintigraphy and angiography permits a correct diagnosis to be made in nearly 90% of cases. Differential diagnosis between cystic and solid processes is possible only by ultrasound.

摘要

根据102例患者的病例资料,对肝脏超声检查的价值进行评估,并与血管造影和闪烁扫描进行比较,这些病例代表了局限性和弥漫性肝脏病变。诊断准确性取决于被检查组织中特征性的声阻抗差异。弥漫性肝病和没有明确声边界的病变可能会导致诊断困难,只能通过补充临床信息来尝试进行鉴别。明确的肿瘤是主要的应用领域。超声、闪烁扫描和血管造影的联合使用可使近90%的病例作出正确诊断。只有通过超声才能对囊性和实性病变进行鉴别诊断。

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