Dimitrov G, Borisov V, Tsirovski G, Khadzhipetkov F, Popkharitov A
Khirurgiia (Sofiia). 1996;49(2):43-6.
Experience with and the impressions of adopting intraoperative abdominal echography in eighteen patients, aged 26 to 73 years, 9 men and 9 women, are shared. The distribution of patients by pattern of diseases is as follows: colorectal carcinoma--4 cases, liver echinococcus--one, gastric carcinoma--one, hepatocellular carcinoma--one, cholangitis acuta purulenta-one, echinococcus of lung and liver--one, calculous cholecystitis with choledocholithiasis--five, and carcinoma of ductus choledochus--one. Fifty intraoperative abdominal echographies and one intrathoracic supradiaphragmatic echography of the liver are performed. Intraoperative abdominal echography of tumors involving organs of the digestive tract contributes to specify the staging of the neoplastic process. In liver echinococcus it determines precisely the number of cysts and diagnoses impalpable cystic formations, while in choledocholithiasis it documents the presence of calculi in the biliary tracts and eventual dilatation of intrahepatic ones. In five patients intraoperative abdominal echographic is done in conjunction with intraoperative fiber choledochoscopy.
分享了对18例年龄在26至73岁之间的患者（9名男性和9名女性）采用术中腹部超声检查的经验和印象。患者按疾病类型分布如下：结直肠癌——4例，肝包虫病——1例，胃癌——1例，肝细胞癌——1例，急性化脓性胆管炎——1例，肺和肝包虫病——1例，结石性胆囊炎伴胆总管结石——5例，胆总管癌——1例。共进行了50次术中腹部超声检查和1次肝脏胸内膈上超声检查。涉及消化道器官肿瘤的术中腹部超声检查有助于明确肿瘤进程的分期。在肝包虫病中，它能精确确定囊肿数量并诊断触不到的囊性结构，而在胆总管结石病中，它能记录胆道结石的存在以及肝内胆管最终的扩张情况。在5例患者中，术中腹部超声检查与术中纤维胆道镜检查联合进行。
