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Chapter 1 [총론] 장치의 조작법, 탐촉자 잡는 법 등
◎ 탐촉자의 종류와 용도···································· 2 ◎ 탐촉자 잡는 법··············································· 2 ◎ 단층영상 조정 1. 모니터 영상 조정 ············································ 4 2. 게인(gain) 조절 ·············································· 4 3. TGC (time gain compensation) 조절 ················· 5 4. 초점 조절························································6 5. 관찰 깊이 조절················································ 6 ◎ 컬러 도플러 영상 조정 1. 컬러 게인 조절················································ 7 2. 컬러 부위 조절················································ 7 3. 유속 범위 조절 ··············································· 8 ◎ 펄스파 도플러·연속파 도플러 영상의 조정 1. 도플러 게인의 조절···········································9 2. 저역 차단 필터(low cut filter)의 조절 ················ 9 3. 유속 범위와 베이스라인 시프트의 조절···············10 4. 스위프 속도(sweep speed)의 조절·····················11 Chapter 2 간, 담낭, 췌장, 비장 1. 심와부 종단스캔 ············································14 2-1) 심와부 횡단스캔···································· 16 2-2) 심와부 횡단스캔(췌장 관찰)····················· 19 3. 우측 늑골밑스캔············································· 23 4. 우측 늑골밑~늑연골부 횡단스캔(담낭 관찰 중심)··28 5. 우측 늑골밑 늑연골부 종단~경사 단면 스캔 (담낭과 담관 관찰 중심)·································29 6. 우측 늑간스캔················································ 31 7. 좌측 늑간스캔················································ 34 8. 좌우 늑간스캔················································ 36 간, 담낭, 췌장, 비장의 비정상 소견 간 양성종양(간혈관종)········································· 40 원발성 간암(간세포암)········································· 42 전이성 간암······················································· 44 미만성 간질환(지방간)········································· 46 미만성 간질환(알코올성 간염)······························· 49 급성 담낭염······················································· 50 담낭 용종과 담낭암·············································51 췌장암······························································ 52 급성 췌장염······················································· 53 [2장의 약어]··························································· 55 Chapter 3 비뇨기(신장), 전립선, 부인과 1. 등쪽 스캔······················································58 2. 우늑연골부(전면)~측복부 스캔(우측 신장의 기본 단면) 60 3. 우측 복부 종단스캔(우측 신장의 관찰)··············· 60 4. 우측 복부 횡단스캔(우측 신장의 관찰)··············· 61 5. 좌늑연골부-측복부 스캔 (좌측 신장의 기본단면)···63 6. 좌측복부 종단스캔(좌측 신장의 관찰)·················64 7. 좌측복부 횡단스캔(좌측 신장의 관찰)·················65 8. 우측 부신 관찰···············································66 9. 좌측 부신 관찰···············································67 10. 하복부 중앙 종단스캔(방광 관찰)·····················68 11. 하복부 중앙 횡단스캔(방광, 내요도구 관찰)·······69 12. 하복부 중앙 횡단스캔(방광, 요관구 관찰)··········69 13. 하복부 중앙 경사 단면 스캔(방광, 요관구 관찰)· 70 14. 하복부 중앙 종단 및 횡단스캔(방광, 정낭 관찰)· 71 15. 하복부 중앙 종단 및 횡단스캔(전립선 관찰)······ 72 16. 하복부 중앙 종단 및 횡단스캔(자궁, 난소 관찰)· 73 17. 하복부 중앙 종단 및 횡단스캔 (남성: 직장방광와, 여성: 더글러스와의 관찰)····79 18. 고환 관찰···················································· 80 비뇨기(신장), 전립선, 부인과의 비정상 소견 수신증······························································ 81 신장 양성종양(신혈관근지방종)······························82 신장 악성종양(신세포암)······································ 83 자궁근종··························································· 85 난소 종양··························································87 전립선 비대증···················································· 91 [3장의 약어]··························································· 92 Chapter 4 소화관 상부소화관 ◎ 식도 1. 경부 식도 ···················································· 94 2. 복부 식도 ···················································· 95 ◎ 위·십이지장 1. 위·식도 접합부(위 분문부) ·····························96 2. 위체부 ·························································96 3. 위각부 ·························································97 4. 위전정부 ······················································98 5. 위유문부~십이지장 팽대부 ······························ 98 6. 십이지장 하행부 ············································99 7. 십이지장 횡행부 ·········································· 100 하부소화관 ◎ 소장 1. 공장 ·························································· 102 2. 회장 ·························································· 103 ◎ 대장 1. 상행결장 ···················································· 104 2. 횡행결장 ···················································· 105 3. 하행결장 ···················································· 106 4. S상결장 ····················································· 108 회맹부~충수 1. 회장 말단~Bauhin판(회맹판) ··························109 2. 충수 ·························································· 110 소화관의 비정상 소견 식도암·····························································112 위암······························································· 113 급성 위점막 병변·············································· 114 대장암·····························································115 대장 게실 주위염·············································· 116 급성 충수염····················································· 117 Chapter 5 심장 〈단층법, M모드법〉 접근법······························································· 118 기본 B모드 단면 ◎ 흉골 좌연 접근 1. 흉골 좌연 좌심실 장축 단면··························· 121 2. 흉골 좌연 좌심실 단축 단면··························· 126 3. 심첨부 4강 단면 ··········································130 ◎ 우심계의 평가 단면(흉골 좌연 접근) 1. 우심실 유입로 장축 단면 ······························ 130 2. 우심실 유출로 장축 단면 ······························ 131 3. 우심실에 초점을 맞춘 심첨부 4강 단면 ··········· 132 4. 우심실 유출로 단면·폐동맥 분기부 ··················132 ◎ 심첨부 접근·····································133 1. 심첨부 4강 단면 ··········································133 2. 심첨부 2강 단면 ··········································134 3. 심첨부 장축 단면 ·········································135 4. 심첨부 5강 단면 ··········································135 응용 B모드 단면 ◎ 심와부 접근·····································137 1. 심와부 4강 단면 ··········································137 2. 심와부 좌심실 단축 단면 ······························ 138 3. 심와부 하대정맥 장축 단면·단축 단면 및 복부대동맥 139 ◎ 흉골 상와 접근 흉골 상와 대동맥궁 단면 ·································· 140 ◎ 우측 흉벽 접근································ 141 1. 흉골 우연 단축 단면 ···································· 141 2. 흉골 우연 시상단면 ······································141 3. 흉골 우연 상행대동맥 장축 단면 ···················· 142 ◎ 흉수의 관찰·····································143 1. 앙와위에서의 관찰 ······································· 143 2. 좌위에서의 관찰 ·········································· 144 M모드법 ◎ 대동맥-좌심방 M모드······························ 145 ◎ 좌심실 M모드··············································145 기본 측정 항목 ◎ M모드 측정··············································146 1. 대동맥 직경. 좌심방 측정 ····························· 146 2. 좌심실 내경과 벽 두께 측정 ·························· 146 3. 삼첨판륜 수축기 이동거리(TAPSE)의 측정 ·······147 ◎ B모드 측정··············································· 148 1. 대동맥 직경·좌심방 직경 측정 ························148 2. 좌심실 내경과 벽 두께 측정 ·························· 148 3. 좌심실 용적·좌심실 박출률 측정 (Biplane method of disks법) ······················· 149 4. 좌심방 용적 측정(Biplane method of disks법) ··150 5. 하대정맥 직경의 측정 ···································150 ◎ 정상치 일람··············································152 [5장의 약어]························································· 153 Chapter 6 심장 〈도플러법〉 컬러 도플러 1. 흉골 주변 좌심실 장축 단면··························· 156 2. 대동맥판막구 부위 단축 단면·························· 157 3. 승모판막구 부위 단축 단면·····························158 4. 우심실 유출로 장축 단면································159 5. 우심실 유입로 장축 단면································160 6. 심첨부 4강 단면··········································· 161 7. 심첨부 장축 단면·········································· 161 8. 심첨부 2강 단면··········································· 162 펄스파 도플러 1. 좌심실 유입 혈류·········································· 163 2. 좌심실 구출 혈류·········································· 164 3. 승모판륜부 운동속도······································165 연속파 도플러 1. 우심실 수축기압 추정···································· 167 2. 대동맥 판막구 통과 최대 유속·························168 심장의 비정상 소견 고혈압성 심질환··············································· 169 비대형 심근증·················································· 170 대동맥판 협착증··············································· 171 급성 심근경색·················································· 173 확장형 심근증·················································· 175 대동맥 박리····················································· 176 [6장의 약어]························································· 177 Chapter 7 혈관 〈경동맥·신동맥〉 경동맥 ◎ 단층법 1. 총경동맥 단축 단면······································· 180 2. 총경동맥 장축 단면······································· 181 3. 경동맥동 단축 단면······································· 184 4. 경동맥동 장축 단면······································· 185 5. 내경동맥 단축 단면······································· 186 6. 내경동맥 장축 단면······································· 187 7. 추골동맥 장축 단면······································· 188 ◎ 컬러 도플러 1. 총경동맥·경동맥동·내경동맥 단축 단면··············189 2. 총경동맥·경동맥동·내경동맥 장축 단면··············189 3. 추골동맥 장축 단면······································· 190 ◎ 펄스파 도플러 1. 총경동맥 혈류·············································· 191 2. 내경동맥 혈류·············································· 192 3. 추골동맥 혈류·············································· 193 경동맥 ◎ 단층법 + 컬러 도플러 1. 복부대동맥 장축 단면···································· 194 2. 신동맥 기시부 장축 단면································196 3. 신장 장축 단면·············································199 ◎ 펄스파 도플러 1. 복부대동맥 혈류··········································· 201 2. 신동맥 기시부 혈류······································· 202 3. 신내 혈류···················································· 204 경동맥·신동맥의 비정상 소견 경동맥 플라크·················································· 206 내경동맥 협착증··············································· 208 내경동맥 폐색증··············································· 210 신동맥 협착증·················································· 212 만성 신부전····················································· 213 [7장의 약어]························································· 214 Chapter 8 혈관 〈복부대동맥·하지동맥·하지정맥〉 복부대동맥 1. 복부대동맥 종단영상······································216 2. 복부대동맥 횡단영상······································217 하지동맥 ◎ 펄스파 도플러·········································· 219 도플러 파형의 표현법········································ 220 ◎ 컬러 도플러에 의한 관찰························ 224 1. 장골동맥 영역·············································· 224 2. 대퇴동맥 영역·············································· 225 3. 슬와동맥 영역·············································· 226 4. 슬하영역(후경골동맥, 전경골동맥, 비골동맥)······ 227 하지정맥 1. 총대퇴정맥~슬와정맥 영역······························230 2. 하대정맥~장골정맥 영역·································232 3. 슬와정맥 영역·············································· 233 4. 하퇴(가자미근정맥, 비골·후경골정맥 등) 영역·····234 5. 근위부 압박 초음파검사································· 236 6. 대복재정맥·소복재정맥··································· 237 복부대동맥·하지동맥·하지정맥의 비정상 소견 복부대동맥류····················································239 하지동맥 폐색병변·············································240 급성 동맥폐색증··············································· 242 심부정맥 혈전증(Deep Vein Thrombosis)·············· 243 가자미근정맥(~슬와정맥) 혈전·····························244 [8장의 약어]························································· 246 Chapter 9 표면 장기 〈유선·갑상선·침샘·경부림프절〉 유선 1. 장치 및 영상 설정·········································248 2. 검사 체위···················································· 248 3. 탐촉자 조작법·············································· 249 4. 종단스캔······················································249 5. 횡단스캔······················································250 6. 회전스캔······················································251 갑상선 ◎ 갑상선·······················································253 1. 장치 및 영상 설정·········································253 2. 검사 체위···················································· 253 3. 탐촉자 조작법·············································· 254 4. 횡단스캔······················································254 5. 종단스캔······················································255 ◎ 부갑상선···················································257 1. 해부··························································· 257 2. 횡단스캔, 종단스캔········································258 ◎ 이하선·······················································260 1. 검사 체위···················································· 260 2. 탐촉자 조작법·············································· 261 3. 종단스캔······················································261 4. 횡단스캔······················································262 ◎ 악하선·······················································263 1. 검사 체위···················································· 263 2. 탐촉자 조작법·············································· 263 3. 종단스캔······················································264 4. 횡단스캔······················································264 ◎ 설하선·······················································265 1. 검사 체위···················································· 265 2. 탐촉자 조작법·············································· 265 3. 횡단스캔······················································266 4. 종단스캔······················································267 경부림프절 탐촉자 조작법 ················································· 268 ◎ 턱밑 림프절(Submental LN)··················· 269 1. 횡단스캔······················································269 2. 종단스캔······················································270 ◎ 악하 림프절(Submandibular LN)············271 1. 횡단스캔······················································271 2. 종단스캔······················································271 ◎ 전경부 림프절·········································· 272 1. 종단스캔, 횡단스캔········································272 ◎ 상부 심경부 림프절································· 273 1. 횡단스캔······················································273 2. 종단스캔······················································274 ◎ 중부 심경부 림프절································· 275 1. 횡단스캔······················································275 2. 종단스캔······················································275 ◎ 하부 심경부 림프절································· 276 1. 횡단스캔······················································276 2. 종단스캔 ···················································· 277 유선·갑상선·침샘·경부림프절의 비정상 소견 유선낭종··························································278 유선섬유선종····················································279 경성 유방암····················································· 280 비침윤성 유관암··············································· 281 갑상선유두암····················································282 침샘 다형선종(Pleomorphic adenoma)················· 283 급성 림프절염·················································· 284 전이성 림프절·················································· 285 Chapter 10 근골격 ◎근골격 및 관절 부위의 각 조직의 정상 영상을 이해한다 288 ◎ 이해해야 할 근골격 특유의 초음파 용어·· 289 ◎ 영상 표시 방법············································289 어깨관절 1. 상완이두근 장두건 단축 단면·························· 290 2. 상완이두근 장두건 장축 단면·························· 291 3. 견갑하근건 장축 단면···································· 291 4. 극상근건과 극하근건 단축 단면······················· 292 5. 극상근건과 극하근건 장축 단면······················· 293 팔꿈치관절 1. 전방에서의 팔꿈치관절 소두와 활차의 단축 단면294 2. 전방에서의 소두와 요골두의 장축 단면·············295 3. 후방에서의 소두와 요골두의 장축 단면·············295 4. 후방에서의 소두 단축 단면·····························296 5. 후방에서의 팔꿈치오목 단축 단면(응용 단면)····· 297 6. 내측 측부인대의 전방사주인대(AOL) 장축 단면·· 298 무릎관절 1. 무릎 체중부하부 연골 단축 단면······················299 2. 무릎 체중부하부 연골 장축 단면······················300 3. 무릎 내측 반월판 내측 측부인대 부위 단축 단면300 발목관절 전거비인대(ATFL) 장축 단면································301 말초신경 1. 정중신경 수근관 부위 단축 단면······················303 2. 정중신경 수근관 부위 장축 단면······················304 3. 척골신경 주관 부위 단축 단면·························305 4. 척골신경 주관 부위 장축 단면·························306 근골격의 비정상 소견 어깨 회전근개내 석회 침착································· 307 어깨의 회전근개 파열········································ 308 상완골 소두의 박리성 골연골염··························· 309 퇴행성 무릎관절염·············································310 전거비인대 손상··············································· 311 질환 색인····························································· 312 |
품목정보
- 발행일
- 2026년 02월 10일
- 쪽수, 무게, 크기
- 336쪽 | 210*275*30mm
- ISBN13
- 9791185658872
출판사 리뷰
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〈역자서문〉
초음파검사는 오늘날 임상 현장에서 가장 널리 사용되면서도, 동시에 가장 배우기어려운 검사 중 하나입니다. 교과서에는 분명히 그림이 있고 설명도 충분한데, 막상프로브를 손에 쥐고 환자 앞에 서면 "지금 내가 보고 있는 이 영상이 과연 맞는 것일까?"라는 질문 앞에서 누구나 한 번쯤 멈춰 서게 됩니다. 저 역시 임상에서 초음파검사를 처음 접했을 때, 해부학은 알고 있는데 영상이 이해되지 않고, 영상은 보이는데 어떻게 스캔해야 같은 화면이 나오는지 알 수 없었던경험을 반복했습니다. 그때 절실히 깨달았던 것이 있습니다. "초음파검사는 아는 만큼 보인다는 것"입니다. 그 간극을 메워 줄 책을 찾는 일은 생각보다 쉽지 않았습니다. 이 책은 바로 그 간극을 정확히 메우기 위한 초음파 참고서입니다. 단순히 "어디를보면 무엇이 보인다"를 설명하는 책이 아닙니다. 초음파 빔이 어느 방향에서 들어가,어떤 해부 구조를 통과하며, 그 결과 화면에 어떤 영상이 만들어지는지를 에코 영상,해부도, 도식, 실제 수검자의 사진을 하나의 세트로 제시함으로써 '보는 순간 이해되는 초음파'를 가능하게 합니다.특히 이 책의 가장 큰 강점은 여러 장기와 검사 영역을 한 권으로, 동일한 사고 체계로 배울 수 있다는 점입니다. 건강검진기관에서 선별검사부터 응급실과 외래 진료실에서 즉각적인 평가, 수술 전 검사에 이르기까지, 실제 초음파검사는 특정 장기만 검사하는 경우보다 여러 영역을 동시에 익혀야 하는 상황이 훨씬 많습니다. 이 책은 그러한 실제 임상 환경을 정확히 반영하여 초심자가 어디서부터 무엇을 어떻게 시작해야 하는지를 명확하게 제시합니다. "이 병변을 만났을 때 무엇을 봐야 하는가", "어떤 소견이 핵심인가", "판독 보고서에는 어떻게 표현해야 하는가"가 직관적으로 이해되도록 구성되어 있어 단순한 참고서를 넘어 현장에서 바로 활용할 수 있는 실전 지침서의 역할을 합니다.초음파검사를 처음 시작하는 검사자, 그리고 이미 현장에서 초음파검사를 하고 있지만 기본을 다시 정리하고 싶은 모든 분들께 이 책이 든든한 출발점이 되기를 바랍니다. 2026년 2월 안지현 KMI한국의학연구소 수석상임연구위원 대한임상초음파학회 이사 대한검진의학회 이사 〈저자 서문〉 2014년에 발간된 초판본은 초음파검사를 시작하려고 하는 검사자뿐만 아니라, 수련의와 학생 등, 매우 많은 분들에게 인기를 얻었습니다. 그리고, “이해하기 쉬워서 탐촉자를 직접 사용해 보고 싶은 책”, “입체감각을 상상하기 쉽고, 초심자에게 안성맞춤”, “깔끔하고 정돈되어 있어 보기 쉽다” 등 다수의 리뷰 코멘트를 받았습니다. 예상을 뛰어넘은 반응이었고, 집필자 모두 대단히 기쁘게 생각하고 있습니다. 그리고, 이번에 제2판을 발간하게 되었습니다. 8년 동안에 3차원 초음파, 스트레인 초음파, 엘라스토그래피(Elastography, 탄성영상검사) 등의 새로운 기술이 발전하고 일상 검사에도 도입하게 되었습니다. 그렇지만, 이 책에서 이 항목들을 추가하지 않았습니다. 왜냐하면, 기본적인 초음파검사 방법만 마스터하고 있으면, 새로운 기술에도 바로 대응하는 것이 가능하기 때문입니다. 이 책의 특징은 무엇보다도 초음파 영상, 도식, 해부도, 피검자 사진을 4종 세트로 하고 있습니다. 초음파 빔이 어디에서 어떻게 장기를 횡단하고 있으니까 초음파에서 어떤 영상으로 나타나는지를 직관적으로 이해할 수 있도록 되어 있고, 참으로 초심자에게 안성맞춤인 한 권의 책으로 구성되어 있습니다. 이 책은 “보면 알 수 있다. 판독하면 더 잘 알 수 있다”라는 컨셉은 유지하고, ① 기본적인 촬영법의 부족한 부분을 추가, ② 초음파 영상의 일부를 보다 깨끗한 것으로 변경, ③ 비정상 소견을 추가, 변경하고, 보다 완성도를 높였습니다. 초음파검사는 자신의 손으로 탐촉자를 잡고 영상을 획득하는 유일무이의 영상진단입니다. 초음파검사를 시작한 여러분들에게 초음파를 촬영할 수 있으면 좋겠다, 초음파검사의 매력을 느끼고 싶다, 더 깨끗한 영상을 획득하고 싶다 라는 염원은 제2판에서도 퇴색될 수 없습니다. 어엿한 초음파검사자가 되려면, 많은 증례를 경험하고, 많은 기술과 지식을 몸에 익히지 않으면 안 됩니다. 그것을 위한 토대를 만드는 데 이 책이 조금이라도 도움이 된다면 기쁘겠습니다. 種村 正 공익재단법인 심장혈관연구소 부속병원 임상검사실 |
리뷰/한줄평0
48,000원
총 1개
48,000원
