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.
Citation:
SHI Lizhi,ZOU Yahong. Contrast of Ultrasonography in Diagnosis for Hepatorrhexis with Operative Exploration (Report of 120 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(1): 65-66. doi:
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- 1. 侍立志, 蔡祥梧, 谭毓铨. 严重肝外伤的诊断与治疗[J]. 中国普通外科杂志, 2000; 9(5)∶389.
- 2. Ladenheim JA, Luba DG, Yao F, et al. Limitations of liver surface US in the diagnosis of cirrhosis [J]. Radiology, 1992; 185(1)∶21.
- 3. Tanaka S, Ioka T, Oshikawa O, et al. Dynamic sonography of hepatic tumors [J]. AJR Am J Roentgenol, 2001; 177(4)∶799.
- 4. Lin DY, Sheen IS, Chiu CT, et al. Ultrasonographic changes of early liver cirrhosis in chronic hepatitis B: a longitudinal study [J]. J Clin Ultrasound, 1993; 21(5)∶303.
- 5. Sanford NL, Walsh P, Matis C, et al. Is ultrasonography useful in the assessment of diffuse parenchymal liver disease? [J]. Gastroenterology, 1985; 89(1)∶186.