このエントリーをはてなブックマークに追加
ID 16160
Eprint ID
16160
フルテキストURL
Thumnail 98_163.pdf 703 KB
タイトル(別表記)
Evaluation of ultrasonic mass screening -Screening for diffuse liver disease and gallstones-
著者
金澤 右 岡山大学医学部衛生学教室 Kaken ID
抄録
Four hundred thirty-two middle-aged to elderly adults were examined by means of real-time ultrasonography as a mass screening method for liver and gallbladder diseases. Among them, 36 cases of diffuse liver disease and 22 cases of gallstones were detected. The results of the ultrasonic examinations were compared with the data obtained from blood laboratory examinations of hepatic function and lipid metabolism as well as with certain questionnaires on the history of such diseases, etc. Although some of the cases diagnosed as diffuse liver disease by ultrasonography showed abnormalities in the blood laboratory examinations, others showed normal data. Most of them were found to have a hsitory of liver disease, however. Ultrasonography revealed morphological changes in the liver due to chronic diffuse liver damage occurring in the inactive phase when blood laboratory data were normal. The significance of ultrasonic mass screening for liver disease lies its ability to reveal cases of morphologically changed livers whether they show abnormalities in blood laboratory examinations or not. As most cases of liver cancer have a hsitory of diffuse liver disease, it may be important to detect cases of diffuse liver disease by means of both ultrasonography and blood laboratory examination. Cases diagnosed as gallstones by ultrasonography did not have a definite tendency to show any abnormality in the blood laboratory examinations or have a history of gallbladder disease or clinical symptoms. Consequently, most of them could be designated as "silent gallstones" by ultrasonography, a very effective means of discovering them. As gallstones are suspected to be one of the decisive factors of gallbladder cancer, their early detection may be important in preventing it. Ultrasonic mass screening examinations are considered a reliable screening method for diffuse liver disease and gallstones.
キーワード
集団検診
腹部超音波検査
びまん性肝疾患
胆石
発行日
1986-02-28
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
98巻
1-2号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
163
終了ページ
176
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
https://www.jstage.jst.go.jp/article/joma1947/98/1-2/98_1-2_163/_article/-char/ja/
関連URL
http://www.okayama-u.ac.jp/user/oma/index.html
言語
Japanese
著作権者
岡山医学会
論文のバージョン
publisher
査読
有り
Eprints Journal Name
joma