《医学影像学 Medical Imaging》课程教学课件（PPT讲稿，儿科，2021）儿童肝胆胰脾超声检查

Sonography of Liver, Gallbladder, Pancreas andSpleen

Sonography of Liver, Gall bladder, Pancreas and Spleen

CONTENTS·Introduction·Sonography of the Liver and Gall bladder·Sonography of thePancreasandSpleen

CONTENTS • Introduction • Sonography of the Liver and Gall bladder • Sonography of the Pancreas and Spleen

NEWWORDSEchogenicity回声强度Transversesection横切面Isoechogenicity中等回声Longitudinalsection纵切面Hyperechogenic高回声Parenchyma实质Hypoechogenic低回声Elastography弹性成像Absenceofechogenicity无回声Cirrhosis肝硬化Contrastenhancement造影增强Choledochocyst胆总管囊肿Hepaticcyst肝囊肿Hepatichemangeoma肝血管瘤CommonbileductCBD胆总管

NEW WORDS Echogenicity 回声强度 Isoechogenicity 中等回声 Hyperechogenic 高回声 Hypoechogenic 低回声 Absence of echogenicity 无回声 Contrast enhancement 造影增强 Hepatic cyst 肝囊肿 Common bile duct CBD 胆总管 Transverse section 横切面 Longitudinal section 纵切面 Parenchyma 实质 Elastography 弹性成像 Cirrhosis 肝硬化 Choledochocyst 胆总管囊肿 Hepatic hemangeoma 肝血管瘤

Introduction远股会诊医控联学系V2实时会诊m面国联国大大学州限儿海医院XR凡通医院中股区B99B文鲜D蓝设斯Oo33HeaUEY21

Introduction • • •

Transversesection横切面Longitudinalsection纵切面（Sagitalsection矢状切面）Coronalsection冠状切面Obliquesection斜切面LONGITUDINALCORONALTRANSVERSE

Transverse section 横切面 Longitudinal section 纵切面（Sagital section 矢状切面） Coronal section 冠状切面 Oblique section 斜切面

CHCMUUltrasonic examination content.Liver,gall bladder,pancreasand spleen:location,shape,size,echogenicityandCDFI. Ascites:Around the liver,spleen,andpancreasLiverStomach.Largeabdominal vessels:Tumorembolus,lymphnodePancreas

Ultrasonic examination content • Liver, gall bladder, pancreas and spleen: location, shape, size, echogenicity and CDFI • Ascites：Around the liver, spleen, and pancreas • Large abdominal vessels：Tumor embolus, lymph node

PARTTWOSonography of the Liver and Gall bladderAnatomyExaminationmethodNormal sonographicfindingsDiseasesonographicfindings

PART TWO Sonography of the Liver and Gall bladder ⚫ Anatomy ⚫ Examination method ⚫ Normal sonographic findings ⚫ Disease sonographic findings

1. Liver AnatomyLEFTLOBEMadeup of3lobes,right,RIGHTLOBEleft, and caudateFALCIFORMLIGAMENTRightlobe-anteriorandposteriorsegmentsANTERIORVIEWOFLIVERMiddle hepatio veinIVCLefthepaticveinRighthepaticveirLeftlobe-medial andlateralsegmentsCaudatePortal veinHepatic arteryBile ductThe liver's eight-segmentdivision.Patients undergoing surgeryfor fiver cancerwill have a section(s) of their liver removed inwhich the tumor(s) resides.Following surgery,this sectiongrows back

1. Liver Anatomy ⚫ Made up of 3 lobes, right, left, and caudate ⚫ Right lobe-anterior and posterior segments ⚫ Left lobe- medial and lateral segments ⚫ Caudate

2.Examination methodPositionSupine position, left lateral positionProbelocationBetween the right side of the rib, right subcostalmargin

⚫ Position Supine position, left lateral position ⚫ Probe location Between the right side of the rib, right subcostal margin 2.Examination method

3.The normal liver ultrasoundNormal livetASEGUOIADEMO13Aug989.43:16am4.0MHz140mmABD85dBT1//0/2/3Gain=2dB4=1Store inprogressWOUUDIBAGA

C 3.The normal liver ultrasound