???????? Diagnosis of Liver Disease with Ultrasound Sonography - PowerPoint PPT Presentation

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???????? Diagnosis of Liver Disease with Ultrasound Sonography

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Title: ???????? Diagnosis of Liver Disease with Ultrasound Sonography


1
???????? Diagnosis of Liver Disease
with Ultrasound Sonography
2
????????
  • ???????
  • Diffuse Liver Disease

??????? Focal Abnormalies
3
???????
  • ???????????
  • size shape capsule boundary
  • ????? liver parenchyma
  • echo pattern isoechoic homogeneous
  • ??????
  • hepatic artery portal vein hepatic veins
  • intrahepatic biliary
  • ???

4
left lobe sagittal section
5
right lobe sagittal oblique view
6
right lobe sagittal oblique view
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???????
  • ?? hepatitis vial infection
  • ???? acute hepatitis
  • ???? chronic hepatitis
  • ??? cirrhosis
  • ???????? schistosomiasis
  • ????? liver in cardiac disease
  • ??? fatty liver (hepatic steatosis)

15
???? Acute Hepatitis
  • ???????????
  • ? ?? ?? ?
  • ?????
  • ?? ?????????(???? )
  • ????
  • ????
  • ?????
  • ????
  • ??

16
???? Chronic Hepatitis
  • ???????????
  • ?????
  • ?? ??coarse echo pattern ????
  • ?? homogeneous ???inhomogeneous
  • ????
  • ???(?? ??) ???(?? ??)
  • ????
  • ?? ?? ??

17
??? Cirrhosis
  • ???????????
  • ? ?? ??diffuse nodularity ?
  • ?????
  • ?? ?? increased echogenicity ?????
  • ????
  • ???????? attenuation
  • ???????? ?????
  • ????
  • ? hard

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??? Portal hypertention
  • ??????
  • portosystemic venous collaterals
  • (paraumbilical vein coronary vein
    gastroesophageal vein splenorenal-gastrorenal
    vein)
  • ???
  • splenomegaly
  • ??
  • ascites

24
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???????? schistosomiasis
  • ???????????
  • ?????
  • ??? ??? ???
  • ?????
  • ????
  • ????
  • ??

31
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33
????? Liver in Cardiac Disease
  • ???????????
  • ? ?? ?? ?
  • ?????
  • ?????
  • ????
  • ??????? ????? ??????
  • ????????
  • ????
  • ??

34
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??? Fatty Liver
  • ???????????
  • ?????
  • ?????????,????
  • ????
  • ????? (???)
  • ????
  • ??

37
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???????
  • ???
  • ????????
  • ?????
  • ???

42
???????
  • ????????
  • ??? ????? ???
  • ?????????
  • ????? ??? ??
  • ?????????
  • ???? ?? ???

43
???????
  • Couinaud 8??
  • ???(?) ?????(?)
  • ?????(?) ???(?)
  • ?????(?) ?????(?)
  • ?????(?) ?????(?)

44
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??? hepatic cyst
  • ?????
  • ?? ??/???round or oval-shaped
  • ???? ??? anechoic ?? thin well
  • ???? ??????? distal acoustic
    enhencement
  • ??
  • ??????
  • ?????? ???? ??????

  • ??????

48
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???
  • ?????
  • ?? ?? ??? ???
  • ? ? ?????(???)thick wall
  • ???? ???????? hypoechoic appearance
    with fine homogeneous echoes
  • ??????()
  • ????????
  • ???????????????

50
???? Hemangioma
  • ?????
    ??????
  • capillary Hemangioma cavernous
    Hemangioma
  • ?? ?
    ?
  • ?? ??/???
    ??
  • ???? ???
    ??????
  • ?? ???(???) ????
  • ???? ?
    ?/???

51
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54
? ? Liver Carcinoma
  • ????? Primary liver carcinoma
  • Hepatocellular carcinoma
  • ????? secondary liver carcinoma
  • liver metastases

55
?????
  • ???? ?? (??) ????
  • ???? ??? ??? ???
  • ???? ????? ???????
  • ???? ?
  • ???? ??? ???

  • ????/?????????

56
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???????????
  • ????? ?????? ?????
  • ??????? ?????
  • ??????? ????????(???)
  • ??????? ????? ????
  • ????? ???????/???

  • ?????
  • ????? ?? ????? ????

  • ????,??????

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?????
  • ?? ??????
  • ?? ???????
  • ???? ??? ?????????
  • ???? ?????

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