肝脏_超声_教授讲坛中.ppt

;肝胆胰检查的准备 肝胆胰检查的方法：体位、顺序、 图像方向、 常用术语 ;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;方向;方向;实质回声均匀细腻，比肾脏稍高，比胰腺稍低 肝缘锐利 肝内门静脉，肝静脉、肝管、胆总管显示清晰 肝右叶上下斜径12.15±1.14cm。门静脉内径0.9-1.4cm，肝静脉内径小于1.0cm 肝内门脉与肝静脉是肝组织分段的重要解剖标志 ;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.; 1、肝脏大小的变化 肝左叶腹主动脉纵断面上下径和前后径之和≥14cm， 或右肝上下斜径≥14cm均属肝大。≤10cm或右肝上下斜径≤10cm属肝缩小。 ;2、???? 脏轮廓的变化 肝缘变钝，肝包膜不平滑，肝脏左右叶大小比例失调，尾状叶肥大等，是肝硬变的表现。 3、???? 实质回声的改变 包括回声致密增高、粗糙，减低，杂乱，异常回声或肿物等。可分为为弥漫性或局灶性改变。 4、???? 肝内管道结构的改变 脉管的移位、扭曲、管腔变细、闭塞或扩张、管壁增厚、管内积气，血管内血栓癌栓等。 ;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;??? 肝脏弥漫性病变 1.血吸虫肝 2.华枝睾吸虫 3.淤血肝 4.肝硬化 5、脂肪肝;??? 肝脏弥漫性病变 1.血吸虫肝：肝实质回声粗乱，整体回声呈网状结构，门脉壁厚、内径增宽和回声增强，合并脾大和腹水。 2.华枝睾吸虫病：肝内胆管轻度扩张，胆管壁增厚、钙化呈等号状，肝外胆管可无明显异常。 ;Evaluation only. Created with Aspose.Slides f