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韓國人 成人 肝臟容積에 關한 X線學的 硏究

Roentgenological evaluation of the liver volume and the relative volume in the Korean adults.

최신의학 1964년 7권 11호 p.65 ~ 76
박진우,
소속 상세정보
박진우 (  ) - 경북대학교 의과대학 방사선과학교실

Abstract


Although many methods have been described previously for the accomplishment of the roentgenographic visualization of the size, shape and position of the liver, most of these measurements are based on the two dimensions which is not adequate for evaluation of the actual size of the liver. Recently a roentgenologic method of determination of the. liver volume, which provides an accurate means of mensuration of the size of the liver -is reported by L.Walk.
The author intended to determine the normal values of liver volume and relative volume for the Korean adults with the hope of establishing the normal standard which will be of much ´help for the clinical diagnosis. This report includes a study of unselected 123 subjects; 56 of these were normal with regard to the liver, and 67 of these were patients with liver diseases. The author analyzed them with regard to sex, age, height, body weight, body surface and abdominal thickness as well as clinical palpability of the liver.
1. The relative liver volume of the normal Korean adult was 637.2 ml5.72 ml and varied from 555.4 ml to 784.9 ml, and the 90% confidence limit was 560.1 m1-714.4 ml, which is about 146 ml smaller than that of the European in its upper limit.
2. The relative liver volume of the abnormal group was 970.4 ml31.45 ml and varied from 729.1 ml+16. 03 ml to 1447.1 ml57.78 ml, which is greatly enlarged than that of the normal group.
3. The liver volume of the normal group was 1011.0 ml4.72 ml and varied from 756.1 ml to 1318.8m1.
4. There was a tendency that the greater the height, body weight, abdominal thickness and body surface, the larger the liver volume, but no such a tendency could be seen in the relative liver volume. This indicates that we should measure the relative liver volume to determine the liver size.
5. In agreement with previous authors, this study revealed no correlation of clinical palpability with actual size of the liver in the normal group, while the abnormal group does so.
6. The largest liver volume was seen in the liver with malignant tumor.

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