摘要
目的:总结术中B超在肝脏外科中的应用价值.方法:回顾分析1997年8月～2001年7月167例肝脏手术中应用B超情况,并与术前超声检查、CT检查结果相对比.结果:术中B超纠正了10/68例(14.71%)肝脏肿瘤的术前诊断,24/54例(44.44%)恶性肿瘤病例发现新病灶,15/24例(62.50%)因此改变了术式,34例辅助确定了肝切除线,术后病理检查证实切缘无肿瘤残余.在术中B超辅助下,63例肝内胆管结石,16例肝门部胆管癌及19例肝内囊性变均获确诊.结论:术中B超在肝脏外科手术中提供比术前B超、CT更详尽的影像学信息及决策依据,从而提高了手术疗效.
ve:To evaluate the value of intraoperative ultrasonography(IOUS) in hepatic surgery. Me-thods: The data of 167 cases using IOUS in hepatic surgery from Aug 1997 to Ju1y 2001 were retrospective-ly reviewed and compared with that of preoperative ultrasonography and CT. Results: IOUS corrected pre-operative diagnosis in 10/68(14.71%) cases of hepatic tumors. New lesions were found in 24/54(44.44%) casesof hepatic cancer, and their operative procedures were modified accordingly in 15/24(62.50%) cases. Theline of hepatic resection was redesigned by IOUS in 34 cases of HCC, and the postoperative pathologic ex-amination showed no residual tumor in the resection margin. Proper diagnosis and operative treatmentwere achieved in 63 cases of intrahepatic lithiasis, 12 cases of hilar cholangio-carcinoma and 19 cases of in-trahepatic cysts under the guidance of IOUS. Conclusions: IOUS provides more image information in deci-sion-making than preoperative ultrasonography and CT scanning in hepatic surgery.
出处
《外科理论与实践》
2001年第6期390-392,共3页
Journal of Surgery Concepts & Practice
关键词
肝脏外科
B超
诊断
IOUS
Ultrasonography Diagnosis/Intraoperative Hepatic surgery.
