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英文誌(2004-)

Journal of Medical Ultrasonics

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1999 - Vol.26

Vol.26 No.12

Original Article(原著)

(1185 - 1195)

肝硬変に出現する「櫛状エコー」の病理学的検討とその意義

Importance of Hairbrush Sign in Ultrasonographic Diagnosis of Liver Cirrhosis

若杉 聡1, 大栗 茂芳1, 平田 信人1, 関山 和彦1, 井上 和明1, 与芝 真1, 藤田 力也1, 寺町 貴子2, 大野 一夫2, 大橋 真由美2, 近藤 礼子2, 大矢 和博2

Satoshi WAKASUGI1, Shigeyoshi OOGURI1, Nobuto HIRATA1, Kazuhiko SEKIYAMA1, Kazuaki INOUE1, Makoto YOSHIBA1, Rikiya FUJITA1, Takako TERAMACHI2, Kazuo OONO2, Mayumi OOHAYASHI2, Reiko KONDOU2, Kazuhiro OOYA2

1昭和大学藤が丘病院消化器内科, 2昭和大学藤が丘病院超音波センター

1Division of Gastroenterology Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama 227, Japan, 2Ultrasonography Center Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama 227, Japan

キーワード : 7.5 MHz Annular array probe, Diffuse liver disease, Flag sign, Hairbrush sign, Ultrasound

We used a 7.5 MHz annular array probe to diagnose 70 cases of diffuse liver disease. Degree of irregularity of liver surface detected by this probe and that observed on laparoscopy were related. The probe also visualized low echoic belts from the depressed area of the liver surface. We term this finding the hairbrush sign (HS). Clinically, this sign was positive when the liver surface was irregular, especially in cases of liver cirrhosis. The hairbrush sign appeared most regularly in autopsy livers with advanced liver cirrhosis. The sign, however, did not always appear when the liver surface was irregular. These observations suggest that the hairbrush sign is more likely to be associated with advanced liver fibrosis than with liver surface irregularity.