婴儿肝炎综合征与胆道闭锁鉴别诊断方法的比较

回顾性评价了经手术或尸检诊断的１１例胆道闭锁和随访了２６例黄疸消失的婴儿肝炎综合征患儿十二指肠液的颜色、放射性核素肝胆显像、Ｂ超肝胆检查结果．以十二指肠液透明无色诊断胆道闭锁，十二指肠液黄色诊断婴儿肝炎综合征，正确率为９４．６％．以肠道有无放射性示踪剂来鉴别胆道闭锁与婴儿肝炎综合征，正确率为８１．１％．Ｂ型超声波肝胆检查有无胆囊鉴别胆道闭锁与婴儿肝炎综合征，正确率为７８．０％．结果表明，观察十二指肠液颜色是简单、快速、可靠的鉴别方法．

Comparison of Diagnostic Value of Hepatobiliary Scintigraphy,Ultrasonography ,Collection of Duodenal Fluid in Infantile Hepatitis Syndrome and Biliary Atresia

We retrospectively evaluated the utility of hepatobliary scintigraphy,ultrasonography and collection of duodenal fluid in differentiating infantile hepatitis syndrome form biliary atresia in 37 patients with persistent high bilirubin. The final diagnosis, either by laparotomy,autopsy or clinical follow-up, of 11 patients was biliary atresia and 26 patients was infantile hepatitis syndrome. For the differential diagnosis of biliary arteria and infantile hepatitis syndrome, the accuracy of duodenal fluid color technique was 94.6%;the accuracy of 99mTCHDA hepatobiliary scintigraphy was 81.1%; the accuracy of ultrasonography was 78.0%. Observation of duodenal fluid color for diagnosis are non-invasive, safe and simple.