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肝硬化病人小肝癌的最好治疗方法是限制性切除术,以免大面积切除无再生力肝脏导致肝功能异常。术中超声显象技术为此提供了一种十分有效的方法,它可定位视觉和触觉不达之深部肿瘤,确定解剖切除范围。本文报告1例47岁男性长期嗜酒患者,因体乏、消瘦而作检查,发现肝肿大,血清甲胎蛋白值高(1250 u/ml)。无腹水、黄疸,碱性磷酸酶、转氨酶和胆红素值均正常。凝血酶原和白蛋白值分别为88％和35 g/1,血γ球蛋白值升高(17g/l)。HBs抗原阳性,HBE抗原阴性。ACE正常,血电解质和血细胞计数及分类无特异性。术前超声检查和X线断层摄影示肝右叶后上部有直
The best treatment for small hepatocellular carcinoma in patients with liver cirrhosis is limited resection, so as to avoid large area resection of liver without regenerative liver function leads to abnormal liver function. Intraoperative ultrasound imaging provides a very effective method for this purpose. It can locate deep tumors with poor vision and tactility, and determine the range of anatomical resection. This article reports a 47-year-old male long-term alcohol abuser who was examined for lack of body and wasted weight and found hepatomegaly with high serum alpha-fetoprotein (1250 u/ml). No ascites, jaundice, alkaline phosphatase, transaminases, and bilirubin values were normal. Prothrombin and albumin values were 88% and 35 g/1, respectively, and blood gamma globulin values were elevated (17 g/l). HBs antigen positive, HBE antigen negative. ACE is normal, blood electrolytes and blood cell counts and classifications are non-specific. Preoperative ultrasonography and X-ray tomography show the right upper lobe of the liver with straight