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| 超声检查在胆道闭锁鉴别诊断中的运用价值 | |
| 引用本文： | 孙颖华,郑珊,钱蔷英. 超声检查在胆道闭锁鉴别诊断中的运用价值[J]. 临床小儿外科杂志, 2008, 7(4): 3-6 |
| 作者姓名： | 孙颖华 郑珊 钱蔷英 |
| 作者单位： | 复旦大学附属儿科医院,上海市,200032;复旦大学附属儿科医院,上海市,200032;复旦大学附属儿科医院,上海市,200032 |
| 摘 要： | 目的 探讨超声检查胆囊大小、形态及肝门区结构在早期鉴别诊断胆道闭锁和婴儿肝炎综合征方面的运用价值。方法回顾2002～2006年204例拟诊为阻塞性黄疸的婴儿的超声检查资料，并与手术造影、临床诊断相比较，统计胆囊显示率、胆囊大小及其在胆道闭锁和婴儿肝炎综合征之间的差异；回顾2002～2006年的超声图像，综合分析胆囊充盈情况、形态及肝门区结构，评估其诊断价值。结果204例中，182例经手术探查及造影确诊，其中胆道闭锁（BA）151例（83％），婴儿肝炎综合征（IHS）29例（16％），先天性胆道发育不良2例（1％）。超声探及胆囊的BA患儿97例（占BA患儿的64.24％），探及胆囊的IHS患儿24例（古IHS患儿的82．76％），BA患儿胆囊显示率明显低于IHS患儿（P〈0．05）。BA患儿胆囊长度均值为1．28cm，体积均值为0．27ml；IHS患儿胆囊长度均值为2．03cm，体积均值为0．61ml，两组差异有统计学意义（P〈0．05）。回顾性分析胆囊、肝门区结构，诊断灵敏度为99．34％，特异度为83．87％，符合率为96．7％。结论超声检查综合分析胆囊大小、形态及肝门区结构在早期鉴别诊断胆道闭锁和婴儿肝炎综合征方面有一定的运用价值。 |
| 关 键 词： | 胆道闭锁/超声检查 肝炎/超声检查 综合征 诊断 鉴别 |
Ultrasonographic evaluation in differential diagnosis between Biliary atresia and Infantfile hepatitis syndrome |
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| SUN Ying-huai,ZHENG Shan,QIAN Qiang-ying. Ultrasonographic evaluation in differential diagnosis between Biliary atresia and Infantfile hepatitis syndrome[J]. Journal of Clinical Pediatric Surgery, 2008, 7(4): 3-6 | |
| Authors: | SUN Ying-huai ZHENG Shan QIAN Qiang-ying |
| Affiliation: | SUN Ying-huai,ZHgNG Shan, QIA. N Qiang-ying(Children＇s Hospital of Fudan University. ShangHai, 200032 ,China) |
| Abstract: | Objective To evaluate the ultrasonographic (US) features in differential diagnosis between biliary atresia (BA) and infantile hepatitis syndrome (IHS).Methods The US results of the infants with obstructive jaundice between 2002 and 2006 were analyzed retrospectively.Compared with their clinical diagnosis and operation results, the appearance rate and size of gallbladder was calculated to analysis their difference between BA and IHS.The US images of the gallbladder shape and structures of hepatic portal were... |
| Keywords: | Biliary Atresia/US Hepatitis/US syndrome Diagnosis Differential |
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