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中华肝脏外科手术学电子杂志 ›› 2024, Vol. 13 ›› Issue (03) : 265 -269. doi: 10.3877/cma.j.issn.2095-3232.2024.03.003

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超声检查在肝胆外科中的应用
王伟利1, 唐流康1, 陈明政1, 谢峰1,()   
  1. 1. 200438 上海,海军军医大学附属东方肝胆外科医院胆道三科
  • 收稿日期:2024-01-30 出版日期:2024-06-10
  • 通信作者: 谢峰
  • 基金资助:
    上海市自然科学基金(16ZR1449200); 上海申康医院发展中心项目(SHDC2022CRD047,SHDC12017X14); 孟超英才开发计划(20200101)

Application of ultrasonography in hepatobiliary surgery

Weili Wang1, Liukang Tang1, Mingzheng Chen1, Feng Xie1,()   

  1. 1. Department Ⅲ of Biliary Tract Surgery, Eastern Hepatobiliary Surgery Hospital Affiliated to Naval Medical University, Shanghai 200438, China
  • Received:2024-01-30 Published:2024-06-10
  • Corresponding author: Feng Xie
引用本文:

王伟利, 唐流康, 陈明政, 谢峰. 超声检查在肝胆外科中的应用[J]. 中华肝脏外科手术学电子杂志, 2024, 13(03): 265-269.

Weili Wang, Liukang Tang, Mingzheng Chen, Feng Xie. Application of ultrasonography in hepatobiliary surgery[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(03): 265-269.

肝胆疾病属于临床上比较常见且严重的一类病症,很多肝胆疾病早期并不明显,出现症状时已较重,需要手术治疗,超声作为目前应用较为普遍的一种检查手段,具有能清晰显像,无辐射,无创伤,定位精准性高、方便、便宜等特点,近年来对超声在肝胆外科的应用开展了大量的研究工作,并取得了一些新进展和新认识。本文将这些研究进展进行综述,以期为临床肝胆外科手术的超声应用提供依据。

Hepatobiliary diseases are common and severe diseases in clinical practice. Multiple hepatobiliary diseases are manifested with non-specific symptoms in the early stage, whereas with severe symptoms during the advanced stage, requiring surgical treatments. As a common examination method, ultrasonography has the characteristics of clear imaging, no irradiation, no trauma, high accuracy of positioning, convenience and low cost, etc. In recent years, multiple studies have been carried out in the application of ultrasonography in hepatobiliary surgery, and achieving novel progress and understanding. In this article, research progress in this aspect was reviewed, aiming to provide evidence for the application of ultrasonography in clinical hepatobiliary surgery.

[1]
Jenderka KV. Propagation of ultrasound in tissue and principles of ultrasound imaging[J]. Radiologe, 2013, 53(12):1137-1150.
[2]
吴春娜. 腹部超声诊断肝胆疾病的影像特征分析[J]. 中国医药指南, 2022, 20(4):17-20.
[3]
赵辉辉,崔红. 腹部超声诊断肝胆疾病的影像特征分析[J]. 影像研究与医学应用, 2021, 5(20):4-5.
[4]
樊乐妮,山丹. 超声在胎儿肝胆疾病诊断中的应用进展[J]. 医学综述, 2021, 27(7):1390-1394.
[5]
Coffey W, Balasubramanya R. An update on hepatobiliary ultrasound[J]. Curr Radiol Rep, 2020, 8(9):15.
[6]
Ellithi M, Siddiqui MD, Cunningham A, et al. Utility of endoscopic ultrasound in the work up for solitary hepatobiliary neuroendocrine lesions[J]. S D Med, 2020, 73(6):270-274.
[7]
Zhou J, Wang C, Chen Z. Hepatobiliary and Pancreatic: Castleman disease of the pancreas diagnosed by endoscopic ultrasound[J]. J Gastroenterol Hepatol, 2021, 36(8):2036.
[8]
Kumar K, Kaur S, Kaur R, et al. The role of contrast-enhanced ultrasound in the evaluation of hepatobiliary lesions and its correlation with pathological findings[J]. Pol J Radiol, 2022, 87:e661-667.
[9]
Park J, Lee JM, Kim TH, et al. Imaging diagnosis of hepatocellular carcinoma: future directions with special emphasis on hepatobiliary magnetic resonance imaging and contrast-enhanced ultrasound[J]. Clin Mol Hepatol, 2022, 28(3):362-379.
[10]
张健颖,阮佳泉,何坤燕, 等. 中晚期肝癌的超声造影与CT影像诊断及超声造影评估介入治疗疗效的价值研究[J]. 中国CT和MRI杂志, 2022, 20(11):109-111.
[11]
Cirimbei S, Puşcu C, Lucenco L, et al. The role of intraoperative ultrasound in establishing the surgical strategy regarding hepato-bilio-pancreatic pathology[J]. Chirurgia, 2013, 108(5):643-651.
[12]
殷永芳,罗诗樵. 肝胆外科研究生术中超声能力的培养[J]. 西北医学教育, 2014, 22(5):879-881.
[13]
王子承,段文斌,魏荣光, 等. 术中超声及术中超声造影在巨大肝恶性肿瘤手术治疗中的应用(附视频)[J]. 中国普通外科杂志, 2022, 31(7):920-929.
[14]
蒋小峰,胡远兴,吴心强, 等. 胆道超声造影在肝胆手术中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2021, 10(6):604-607.
[15]
Tan-Tam C, Chung SW. Minireview on laparoscopic hepatobiliary and pancreatic surgery[J]. World J Gastrointest Endosc, 2014, 6(3): 60-67.
[16]
徐耀博,吴斌全. 三维可视化技术结合术中超声在可切除肝癌腹腔镜手术的应用[J/OL]. 中华普通外科学文献(电子版), 2022, 16(4): 273-277.
[17]
骆祥章. 腹腔镜超声在腹腔镜肝胆手术中的应用价值[J/OL]. 临床医药文献电子杂志, 2018, 5(51):150-151.
[18]
郑磊,荆红艳,刘丽红. 腹腔镜超声在腹腔镜肝胆手术中的应用价值[J]. 影像研究与医学应用, 2020, 4(15):163-164.
[19]
王文儿,田潭平,田林. 术中超声引导下肝实质优先头侧入路腹腔镜解剖性肝Ⅷ段切除手术[J]. 中国现代手术学杂志, 2021, 25(5): 341-346.
[20]
Ponnudurai R, Sachithanandan S, George A. Endoscopic ultrasound-guided injection therapy for hepatobiliary disease[J]. J Hepatobiliary Pancreat Sci, 2011, 18(3):311-318.
[21]
Toshima T, Yoshizumi T, Harada N, et al. Hepatobiliary and pancreatic: a new strategy of endoscopic ultrasonography-guided internal drainage for a refractory hepatic abscess after liver transplantation[J]. J Gastroenterol Hepatol, 2020, 35(11):1854.
[22]
Park SE, Nam IC, Baek HJ, et al. Effectiveness of ultrasound-guided percutaneous transhepatic biliary drainage to reduce radiation exposure: a single-center experience[J]. PLoS One, 2022, 17(11): e0277272.
[23]
Shan QY, Jiang H, Chen SL, et al. Postsurgical management of dilated biliary tract in children: ultrasound-guided percutaneous transhepatic cholangial drainage and subsequent percutaneous ultrasound cholangiography[J]. AJR Am J Roentgenol, 2020, 214(6): 1377-1383.
[24]
Giurazza F, Corvino F, Contegiacomo A, et al. Safety and effectiveness of ultrasound-guided percutaneous transhepatic biliary drainage: a multicenter experience[J]. J Ultrasound, 2019, 22(4): 437-445.
[25]
Takenaka M, Kamata K, Kudo M. Conversion of percutaneous transhepatic gallbladder drainage to endoscopic ultrasound-guided hepaticogastrostomy by the intentional expansion method[J]. Dig Endosc, 2019, 31(6):718.
[26]
Lyu Y, Li T, Wang B, et al. Endoscopic ultrasound-guided gallbladder drainage versus percutaneous transhepatic gallbladder drainage for acute cholecystitis with high surgical risk: an up-to-date meta-analysis and systematic review[J]. J Laparoendosc Adv Surg Tech A, 2021, 31(11):1232-1240.
[27]
Jin X, Jiang Y, Tang J. Ultrasound-guided percutaneous transhepatic gallbladder drainage improves the prognosis of patients with severe acute cholecystitis[J]. Evid Based Complement Alternat Med, 2022:5045869.
[28]
Lin W, Chen M, Li B, et al. Intraoperative ultrasound-guided percutaneous hepatocholangiostomy applied in the cholangioscopic lithotripsy for hepatolithiasis and choledocholithiasis[J]. Surg Endosc, 2023, 37(1):486-493.
[29]
言纲,吴勇. 超声引导下经皮肝穿刺胆道镜取石术一期及二期治疗肝内外胆道结石的临床疗效对比[J]. 影像研究与医学应用, 2020, 4(9):227-229.
[30]
唐宇翔. 超声引导下前锯肌平面阻滞联合患者自控静脉镇痛对开腹肝切除患者术后恢复质量的影响[D]. 合肥: 安徽医科大学, 2021.
[31]
高农,王冬丽,吕发勤, 等. 超声造影在肝癌肝移植术后复发病灶中的诊断价值[J/OL]. 实用器官移植电子杂志, 2022, 10(6):537-540.
[32]
赵宁波,谢晓娟,赖宇婷, 等. 超声造影应用于肝移植术后非血管性肝缺血/坏死的早期诊断研究[J]. 传染病信息, 2022, 35(5):439-443.
[33]
郭芸蕾,阮骊韬,张静, 等. 超声无创指标预测肝移植术后胆道梗阻价值研究[J]. 中国超声医学杂志, 2022, 38(11):1256-1259.
[34]
李涌涛,冯伟坚. 增强MRI和超声造影在肝细胞癌TACE术后评估疗效的价值对比[J]. 现代医用影像学, 2022, 31(3):501-504.
[35]
王涛,杨杨,陶堃, 等. 彩色多普勒超声联合超声造影评价TIPS术后早期价值分析[J]. 现代医用影像学, 2022, 31(8):1515-1518.
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