Color atlas of ultrasound anatomy( Sách dịch: Atlas siêu âm màu)

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Color Atlas of
Ultrasound Anatomy
Berthold Block, M.D.
Private Practice
Braunschweig
Germany

544 illustrations

Thieme
Stuttgart · New York
Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


IV
Library of Congress Cataloging-inPublication Data is available from the
publisher.

This book is an authorized translation
of the German edition published and
copyrighted 2003 by Georg Thieme

Verlag, Stuttgart, Germany. Title of the
German edition: Der Sono-Guide:
Taschenatlas der sonographischen
Schnittbilddiagnostik

Translator: Terry C. Telger, Fort Worth,
TX, USA
Illustrator: Gay & Sender, Bremen,
Germany

© 2004 Georg Thieme Verlag,
Rüdigerstrasse 14, 70469 Stuttgart,
Germany

Thieme New York, 333 Seventh Avenue,
New York, NY 10001 USA

Cover design: Cyclus, Stuttgart
Typesetting by Gay & Sender, Bremen
Printed in Germany by Druckhaus Götz
ISBN 3-13-139051- 4 (GTV)
ISBN 1-58890-281-1 (TNY) 1 2 3 4 5

Important note: Medicine is an ever-changing science undergoing continual development. Research and clinical experience are
continually expanding our knowledge, in particular our knowledge of proper treatment
and drug therapy. Insofar as this book mentions any dosage or application, readers may
rest assured that the authors, editors, and
publishers have made every effort to ensure
that such references are in accordance with
the state of knowledge at the time of production of the book.

Nevertheless, this does not involve, imply, or
express any guarantee or responsibility on
the part of the publishers in respect to any
dosage instructions and forms of applications
stated in the book. Every user is requested to
examine carefully the manufacturers’ leaflets accompanying each drug and to check, if
necessary in consultation with a physician or
specialist, whether the dosage schedules
mentioned therein or the contraindications
stated by the manufacturers differ from the
statements made in the present book. Such
examination is particularly important with
drugs that are either rarely used or have been
newly released on the market. Every dosage
schedule or every form of application used is
entirely at the user’s own risk and responsibility. The authors and publishers request
every user to report to the publishers any discrepancies or inaccuracies noticed.
Some of the product names, patents, and registered designs referred to in this book are in
fact registered trademarks or proprietary
names even though specific reference to this
fact is not always made in the text. Therefore,
the appearance of a name without designation as proprietary is not to be construed as a
representation by the publisher that it is in
the public domain.
This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation, without the publisher’s consent, is illegal and liable to prosecution. This applies in particular
to photostat reproduction, copying, mimeographing, preparation of microfilms, and
electronic data processing and storage.

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

V

Preface
Ultrasound scanning yields a series of sectional images. The basis for interpreting the examination is the individual sectional image. At first
sight, it is easy to be confused by the variable appearance of an ultrasound scan of the same region in different patients. This has numerous
causes, including differences in density, body fat, age-related differences, overlying gas, and artifacts. In most cases the apparent discrepancies are not based on true anatomical differences. When a systematic
scanning routine is closely followed, series of sectional images can be
obtained in every patient with remarkable consistency. Even if the
images themselves vary, the anatomical relationships that are demonstrated remain constant.
While some excellent atlases have been published on computed tomography and magnetic resonance imaging, it is curious that no one (to the
author’s knowledge) has taken the trouble to create a similar atlas of
sectional anatomy for abdominal ultrasound. The present atlas attempts
to fill this gap. In particular, the author hopes to provide the beginner
with a comprehensive guide to the initially confusing world of sonographic anatomy.
Many have helped in the creation of this book. I wish to thank Dr. Hartwig Schöndube and Dr. Matthias Geist, who gave me some scans. I also
thank Mrs. Stephanie Gay and Mr. Bert Sender of Bremen for their superb
rendering of the illustrations. I am also grateful to the staff at Thieme
Medical Publishers for enabling me to make this book a reality, with special thanks to Dr. Antje Schönpflug, Mrs. Marion Holzer, and, of course,
Dr. Markus Becker.
Braunschweig, Spring 2004

Berthold Block

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme

All rights reserved. Usage subject to terms and conditions of license.


VII

Table of Contents
Standard Sectional Planes
for Abdominal Scanning

1

t. thượng thận 202

mạch máu

14

dạ dày

218

gan

72

bàng quang

242

túi mật

118

tuyến tiền liệt

250

tụy

134

tử cung

260

lách

168

tuyến giáp

272

thận

180

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

VIII

Table of Contents

Các số minh họa
mạch máu (1–56)

gan(57–100)

31–34
47–52

53–56

1–24

35–38

71–78

25–30

57–70

43–46
79–96
97–1
100

39–42

túi mật (101–114)

tụy (115–146)

135–138
101–
106

115–126

139–
142

127–130

107–112

131–134

lách (147–156)

143–144

thận (157–176)

151–154

163–166

147–150
157–160

167–
168

161–162

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

173–174

169–172


Organs and Scanning Paths

tuyến thượng thận (177–190)

dạ dày (191–212)

195–198
205–208
191–194
181–
184

177–180

Bladder (213–218)

185–188

199–204

Prostate (219–226)

223–226

213–
216

tử cung (227–236)

233–236

219–
222

Tuyến giáp (237–244)

241–
244 237–240

227–
232

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme

All rights reserved. Usage subject to terms and conditions of license.

IX


Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Mặt cắt
p. 2/3 cắt dọc phần trên bụng, ở giữa
p. 4/5 Upper abdominal longitudinal scan, right side

Lower abdominal longitudinal scan, left side
p. 6/7 Upper abdominal transverse scan, center

Lower abdominal transverse scan, center
p. 8/9 Upper abdominal transverse scan, right side

Upper abdominal transverse scan, left side
p. 10/11 Longitudinal flank scan, right side

Longitudinal flank scan, left side
p. 12/13 Transverse flank scan, right side

Transverse flank scan, left side

Note: The number key for the diagrams is on the fold-out flap
inside the back cover.

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Scanning Planes

2

cắt dọc phần trên ổ bụng, ở giữa

cắt dọc phần dưới ổ bụng, ở giữa

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Standard Planes for Abdominal Scanning

40

73

20

5

7

1

85

80

89

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

3


Scanning Planes

4

cắt dọc phần trên ổ bụng, bên phải

cắt dọc phần trên ổ bụng, bên trái

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Standard Planes for Abdominal Scanning

30
20

76

60

21

40
70

61
50

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

5


Scanning Planes

6

cắt ngang phần trên ổ bụng, ở giữa

cắt ngang phần dưới ổ bụng, ở giữa

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Standard Planes for Abdominal Scanning

7
70

40

20

1

10

50

90
61

60

80
97

97

85
89

97

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

7


Scanning Planes

8

cắt ngang phần trên ổ bụng, bên phải

cắt ngang phần trên ổ bụng, bên trái

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Standard Planes for Abdominal Scanning

21
40
10

19

20

70

7
1

50

90
61

60

19
1

10
20

70
7
50

90
60

61

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

9


Scanning Planes

10

cắt dọc sườn, bên phải

cắt dọc sườn bên trái

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Standard Planes for Abdominal Scanning

20
60

21
70
61
50

50
61

20

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

11

Scanning Planes

12

cắt ngang sườn, bên phải

cắt ngang sườn, bên trái

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.


Standard Planes for Abdominal Scanning

20
60
10

21

90

19
1

7

40

61

70

50

50
70

61

40
7

1

90
60

20

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.

13


động mạch chủ và tm chủ dưới nằm trên
thận ở lát cắt ngang, bao gồm mạch thận
1

2
3
4
5
6
7
8
9
10

Động mạch chủ và tm chủ qua cơ hoành
Động mạch vị trái
Thân tạng
Thân tạng
Động mạch gan
Động mạch lách
Đm mạc treo tràng trên
Đm mạc treo tràng trên
Đm mạc treo tràng trên và tm lách
Tm thận trái và đm thận phải
Đm chủ và tm chủ lát cắt ngang dưới thận

11 Đm chủ và tm chủ dưới thận
12 Đm chủ và tm chủ dưới thận
13 Đm chủ và tm chủ dưới thận
14 Đm chủ dưới thận, tm chủ, đmtm mạc treo tràng trên
15 Đm chủ và tm chủ dưới thận
16 Nhánh của đm chủ
17 Đm chậu
18 Hợp lưu tm chậu

19 Tm chậu
20 Tm chậu
21 Tm chậu
22 Tm chậu
23 Tm chậu trái
24 Tm chậu trái
Đm và tm lách lát cắt dọc
25
26
27
28
29
30

Đm chủ
Tm lách và đm vị trái
Đm, tm lách, thân tạng
Đm, tm lách và đm thân tạng
Đm, tm lách, đm tm thận
Dm tm lách, dm tm thận

Block, Color Atlas of Ultrasound Anatomy © 2004 Thieme
All rights reserved. Usage subject to terms and conditions of license.