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作者报道1983~1986年86例结直肠癌选择性切除手术.其中男53例,女33例,平均年龄63岁(38~82).右结肠癌6例,横结肠癌2例,左结肠癌43例,直肠癌35例.Dukes分期:A期6例,B期36例,C期44例.患者均作术前超声检查、术中直接触诊探查以及术中超声检查,对术前超声诊断有肝占位性病变者,再行腹部CT扫描,进一步明确诊断.所用B型超声仪器为日本东芝公司的SAL35和SAL32-B.术中检查方法:首先探查肝门区,然后逐渐探查肝叶周围,接着对邻近肝静脉的肝实质进行扫描,扫描从腔静脉附近开始,到肝静脉远端分支.通常不作肝韧带横切扫描.术中超声检查仅需10分钟,如显示肝脏有液化性病变,还可在超声指导下行穿刺活检,以证实病灶的性质.
The authors reported 86 cases of selective resection of colorectal cancer from 1983 to 1986. There were 53 males and 33 females with a mean age of 63 years (38-82). There were 6 right colon cancers, 2 transverse colon cancers, and 43 left colon cancers. Cases, 35 cases of rectal cancer. Dukes staging: 6 cases in A phase, 36 cases in B phase, 44 cases in C phase. Patients were preoperative ultrasound examination, direct contact exploration and intraoperative ultrasound examination, preoperative ultrasound diagnosis In patients with hepatic space-occupying lesions, abdominal CT scans were performed to further confirm the diagnosis. The B-mode ultrasound apparatus used was SAL35 and SAL32-B from Toshiba, Japan. The intraoperative examination was performed by first exploring the portal area and then gradually exploring the liver lobe. Around, followed by scanning the hepatic parenchyma adjacent to the hepatic vein, starting from near the vena cava to the distal branch of the hepatic vein. Usually no hepatic ligament transversal scan is performed. Intraoperative ultrasound examination takes only 10 minutes, as shown by the liquefaction of the liver. Lesions, but also under the guidance of ultrasound biopsy to confirm the nature of the lesion.