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| (Value of sonography in establishing severity of liver cirrhosis:correlation of sonographic features with Childclass) |
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| Byung Ihn Choi, M.D., Ho Chul KIm, M.D., Yong Moon Shin, M.D., Chu Wan Kim, M.D., Hyo suk Lee, M.D.*, Chung Yong Kim, M.D.* |
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| Department of Radiology, and Internal Medicine*, Seoul National Univerity, College of Medicine |
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| This prospective study was designed to investigate the utility of sonography in establishing severity of livercirrhosis as compared with Child class in clinical creteria. Seventy-our consecutive patients with liver cirrhosiswere examined with sonography. This study included 50 males and 24 females, aged 35 to 72 years (mean ; 51) Thenumber of patients in child A,B, and C group was 30,29,15 respectively. Sonographic features evaluated werehepatic parenchymal echo pattern, presence of nodularity of hepatic surface, degree of hepatic sonic attenuation,degree of obliteration of wall echo of the intrahepatic portal vein, size of the main portal vein, thickness ofthe gallbladder wall, size of the spleen, and presence of ascites. Each sonographic features was graded from 0 to2 depending upon the degree of severity, and was correlated with Child class of liver cirrhosis. Hepaticparenchymal echo pattern, presence of nodularity of hepatic surface, thickness of gallbladder wall, and presenceof ascites were correlated well with Child class (p<0. 05). However, other sonographic features including degreeof hepatic attenuation of sound, degree of obliteration of wall echo of intrahepatic portal vein, size of the mainportal vein, and size of the spleen were not correlated with Child class (p>0.05). In conclusion, these resultsindicate that careful evaluation of sonographic features are helpful inpredicting severity of liver cirrhosis. |
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| Keyword : Liver,cirrhosis |
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 1993 ; 12 (2) : p.147-152
