CAJ | 학술논문

目的超声测量正常成年人和肝病患者的肝尾状叶影像学数据,为临床超声诊断肝尾状叶病变提供形态学依据.方法对134例正常成年人肝尾状叶及34例肝病疾患者肝尾状叶进行前瞻性超声测量,分析不同性别、年龄段、身高、体重指数以及肝疾病肝尾状叶的差异.结果正常成年人肝尾状叶前后径:男性(2.174±0.416)cm、女性(2.010±0.350)cm;左右径:男性(2.899±0.322)cm、女性(2.683±0.306)cm;青年组、中年组、老年组肝尾状叶上下径、前后径分别为(5.115±0.583)cm、(2.212±0.367)cm、(4.814±0.570)cm,(2.038±0.384)cm、(4.781±0.914)cm、(1.955±0.460)cm,差异有显著性.过低、正常、超重、肥胖者肝尾状叶各径线差异无显著性(p＞0.05),正常成年人肝尾状叶上下径、前后径、左右径均小于肝病病人肝尾状叶的径线,差异有显著性(P＜0.01).结论正常成年人肝尾状叶前后径、左右径男性大于女性,青年人肝尾状叶上下径、前后径大于中年、老年人,成年人肝尾状叶的各径线与体重指数、身高无相关性,肝病病人肝尾状叶的各径线均大于正常成年人.在肝尾状叶超声检测和其疾病诊断时应注意掌握生理性特点和疾病性差异,避免发生漏诊、误诊.
목적 초성측량정상성년인화간병환자적간미상협영상학수거,위림상초성진단간미상협병변제공형태학의거.방법 대134례정상성년인간미상협급34례간병질환자간미상협진행전첨성초성측량,분석불동성별、년령단、신고、체중지수이급간질병간미상협적차이.결과 정상성년인간미상협전후경:남성(2.174±0.416)cm、녀성(2.010±0.350)cm;좌우경:남성(2.899±0.322)cm、녀성(2.683±0.306)cm;청년조、중년조、노년조간미상협상하경、전후경분별위(5.115±0.583)cm、(2.212±0.367)cm、(4.814±0.570)cm,(2.038±0.384)cm、(4.781±0.914)cm、(1.955±0.460)cm,차이유현저성.과저、정상、초중、비반자간미상협각경선차이무현저성(p＞0.05),정상성년인간미상협상하경、전후경、좌우경균소우간병병인간미상협적경선,차이유현저성(P＜0.01).결론 정상성년인간미상협전후경、좌우경남성대우녀성,청년인간미상협상하경、전후경대우중년、노년인,성년인간미상협적각경선여체중지수、신고무상관성,간병병인간미상협적각경선균대우정상성년인.재간미상협초성검측화기질병진단시응주의장악생이성특점화질병성차이,피면발생루진、오진.
Objective To measure the imaging data of the caudate lobe of liver with the ultrasound measurement for the normal adults and patients with liver disease to provide morphological evidence for clinical ultrasound adult caudate lobe lesions.Methods Though the method of forward-looking ultrasound measurements,we analyzed the differences between gender,age,height,weight,caudate lobe of patients with liver disease form 134 cases of normal adult liver caudate lobe and 34 cases of patients ? liver caudate lobe.Results The front and back diameter:man (2.174 ± 0.416) cm,woman (2.010 ± 0.350) cm and the left and right diameter:man(2.899 ± 0.322)cm,woman (2.683 ± 0.306)cm,the men liver caudate lobe were longer than those of the women.The up and down diameter and the left and right diameter:(5.115 ± 0.583) cm,(2.212 ± 0.367)cm of the young-age group liver caudate lobe were longer than those of the mid-age group:(4,814 ± 0.570)cm,(2.038 ± 0.384)cm and the old-age group:(4.781 ± 0.914)cm,(1.955 ± 0.460)cm.The differences were statistically significant.Liver caudate lobe diameters of too light,moderate,overweight,obese had no significant difference (P＞ 0.05).The up and down diameter,the front and back diameter and the left and right diameter of the normal adult liver caudate lobe were longer than those of the patients,with statistical significant differences (P＜ 0.01).Conclusions The front and back diameter and the left and right diameter of the men liver caudate lobe are longer than those of the women.The up and down diameter and the left and right diameter of the young people liver caudate lobe are longer than those of the mid-age group and the old-age group.The every diameter of adult liver caudate has no connects with their weights and heights.The patient liver caudate lobe diameters are longer than those of normal adults.We should care the differences of the liver caudate lobe in physiology and disease characteristics ways when we use ultrasound and its diagnosis to avoid missed diagnosis or misdiagnosis.