肝破裂超声诊断与术中对照120例报告

Contrast of Ultrasonography in Diagnosis for Hepatorrhexis with Operative Exploration (Report of 120 Cases)

目的 探讨超声检查对肝破裂的诊断价值。方法 对 12 0例肝破裂患者行超声检查 ,将其诊断与术中对照的临床资料进行回顾性分析。结果 本组 12 0例患者 ,经超声检查诊断 :肝实质离断伤 5 5例 ,肝实质挫裂伤 38例 ,肝包膜下血肿 12例 ,肝癌自发性破裂 7例 ,超声检查诊断肝破裂共计 112例 ,与术中探查结果对照其诊断符合率为 93.3%。结论 超声检查对肝破裂的临床诊断具有较高的实际应用价值 ,可作为临床诊断肝破裂的重要检查方法之一。

Objective To discuss the diagnosis value of ultrasonography in hepatorrhexis. Methods The contrast of ultrasonography for 120 cases of hepatorrhexis with operative exploration was made. Results All of the 120 patients were examined with ultrasonography, fragmentation of liver parenchyma in 55 cases, dehiscence of liver parenchyma in 38 cases, liver subcapsular hematoma in 12 cases, and spontaneous rupture of liver cancer in 7 cases. All of the 120 patients were confirmed hepatorrhexis with laparotomy. The positive diagnostic rate of ultrasonography in the hepatorrhexis was 93.3%.Conclusion Ultrasonography is valuable for diagnosing hepatorrhexis and it is one of the important diagnostic approaches.