摘要
本文报告B超在11例肝癌手术中的应用。共发现18个癌灶。最大直径15cm,最小直径0,2cm。大于3cm的9个癌灶已被术前B超,CT和术中B超检出,其中4例经探查大体判断无法切除,但在术中B超引导下切除成功。小于2cm的9个癌灶,术前B超、CT无一发现,其中4个虽经手术探查亦未能看到或摸到,经由术中B超检出。本文详细描述了肝癌与脉管间的关系和癌灶的声像图特征,同时还就术中B超对肝癌诊断及手术应用价值进行了讨论。
Intraoperative ultrasonography of the liver was performed upon 11 patients with hepatocellular carcinoma. A total of 18 lesions, varied from 0.2 cm to 15 cm in diameter, were detected by this technique. All of the 9 lesions with diameter larger than 3 cm were detected by BUS as well as preoperative CT scan. Four of these were considered inoperable but successfully resected under the guidance of iniraoperative BUS. Nine lesions which were smaller than 2 cm in diameter were detected by intraoperntive BUS alone with 4 unpalpable. The authors stressed that intraoperative BUS not only can detect small hepatocellular carcinoma, but also is able to demonstrate the portal and the hepatic vein simultaneously, identifying their involvement by the disease process.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1991年第4期204-206,F002,共4页
Chinese Journal of Clinical Oncology
关键词
肝肿瘤
手术
超声检查
Inraoperative ultrasonography
Liver surgery
