Добавил:
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Atlas of Human Body Ultrasound Scanning_ Methods and Diagnostic Applications ( PDFDrive ).pdf
Скачиваний:
177
Добавлен:
29.07.2022
Размер:
40.13 Mб
Скачать

202

B. Su and Q. Yong

 

 

3.20.1\ Scanning Method

The patient takes a supine position or sitting position; the probe is placed anterior-interior to the crus and scans posterior tibial vein from bottom to top.

3.20.4\ Clinical Significance

This section can be used to judge whether there are thrombosis, stenosis, varicose veins, arteriovenous fistula disease, etc. in the posterior tibial vein.

3.20.2\ Sectional Structure

The posterior tibial artery and the posterior tibial vein line from the cross section, the lumen of the posterior tibial vein is oval and locates in the lateral posterior tibial artery, and its lumen can be crushed flat under the probe pressure. The longitudinal section shows the long axis of the posterior tibial vein.

3.20.3\ Measurement Methods

The inner diameter of the posterior tibial vein is measured.

3.20.5\ Notes

1\ .\ The lower limb venous is examined. If necessary the external iliac vein, common iliac vein, and inferior vena cava need to be checked to observe if there are thrombosis in them.

\2.\ When insufficiency of the lower limb venous valvular is examined, the patient should take a standing position.

The Digestive System Organ

8

Scanning

Mei Zhang

Abstract

The objective of this chapter is how to learn to operate scanning of the digestive system organs and read the image figures, which contains the contents of the scanning method, section structures, measuring method as well as normal and clinical application value of the liver, gallbladder, bile ducts, pancreas, spleen, stomach, duodenum, jejunum, colon and rectum accompanied by 67 pictures of sonograms and 63 pictures of schematic diagrams. The patient’s position, preparation, the location and direction of the transducer are described in the scanning methods. Transverse, longitudinal, and oblique scanning methods are introduced. The section structures show every organ plane in the image figures. The measuring methods and normal describe the specification requirement of measurements in standard section and the normal range. One of the most characteristic in this atlas is the clinical application value which introduces the details of what diseases can be diagnosed by this section. The liver scanning includes the scans on the subxiphoid, right intercostal space, and right subcostal. The image figures, color Doppler flow images, and pulsed Doppler waveform of the portal vein, hepatic arteries, hepatic vein, and inferior vena cava are also provided.

M. Zhang

Ultrasonic Diagnosis Department,

Beijing Royal Integrative Medicine Hospital, Beijing, China

e-mail: doctorzhangmei@126.com

© Springer Nature Singapore Pte Ltd. and People’s Military Medical Press 2018

203

M. Zhang (ed.), Atlas of Human Body Ultrasound Scanning, https://doi.org/10.1007/978-981-10-5834-9_8

204

M. Zhang

 

 

Abbreviations

AA\

abdominal aorta

AG\

adrenal gland (SAG`suprarenal gland)

Ao\

aorta

Au\

antrum

BL\

bladder.

Bo\

bowel

CBD\

common bile duct

CA\

celiac artery

CHD\

common hepatic duct

CHA\

common hepatic artery

CL\

caudate lobe.

Co\

colon

DAo\

descending aorta

Dia\

diaphragm

DU\

duodenum

E\

esophagus

GB\

gallbladder

HA\

hepatic artery

IVC\

inferior vena cava

LA\

left atrium

LAD\

left adrenal gland

LAG\

left suprarenal gland

LHA\

left hepatic artery

LHD\

left hepatic duct

LHV\

left hepatic vein

LLV\

left lateral ventricle

LK\

left kidney

LL\

left liver

LPV\

left portal vein

LRA\

left renal artery

LRV\

left renal vein

LTH\

ligament teres hepatis

M\

Medulla

MHV\

middle hepatic vein

P\

pancreas

PB\

pancreatic body

PH\

pancreatic head

PHA\

proper hepatic artery

Ps\

psoas major

PST\

prostate

PT\

pancreatic tail

PV\

portal vein

QL\

quadrate lobe

RA\

renal artery

RAG\

right adrenal gland

RSG\

right suprarenal gland

RHA\

right hepatic artery

RHD\

right hepatic duct

RHV\

right hepatic vein

RK\

renal kidney

RL\

right liver

RPV\

right portal vein

RRA\

right renal artery

RRV\

right renal vein

RV\

renal vein

S\

Sinus

SB\

body of stomach

SF\

fundus of stomach

SMA\

superior mesenteric artery

SMV\

superior mesenteric vein

SpA\

splenic artery

SpV\

splenic vein

S\

spine

Sp\

spleen

SVC\

superior vena cave

St\

stomach

VL\

venose lig