| 王玮玖,姜爽爽,李士星.超声鉴别诊断小儿常见病理性黄疸性疾病[J].中国医学影像技术,2015,31(11):1712~1715 |
| 超声鉴别诊断小儿常见病理性黄疸性疾病 |
| Ultrasound in differential diagnosis of paediatric pathological jaundice |
| 投稿时间：2015-04-14 修订日期：2015-09-28 |
| DOI：10.13929/j.1003-3289.2015.11.028 |
| 中文关键词: 超声检查 儿童 黄疸 |
| 英文关键词:Ultrasonography Child Jaundice |
| 基金项目: |
|
| 摘要点击次数: 1768 |
| 全文下载次数: 1078 |
| 中文摘要: |
| 目的 探讨超声早期鉴别诊断婴儿病理性黄疸的应用价值。方法 回顾性分析74例病理性黄疸患儿,包括婴儿肝炎综合征28例、胆道闭锁32例、先天性胆总管囊肿8例、胆管发育不全3例、新生儿肾上腺出血3例,对其声像图表现进行总结分析。结果 胆道闭锁患儿高频超声检查多表现为胆囊收缩不良(31/32,96.88%)、TC征(30/32,93.75%)及空腹胆囊充盈不良(24/32,75.00%),婴儿肝炎综合征中空腹胆囊充盈不良(16/28,57.14%)多见,先天性胆总管囊肿患儿肝门区无回声包块(8/8,100%)多见,胆管发育不良者空腹胆囊充盈不良(3/3,100%)多见,新生儿肾上腺出血者肾上腺区包块(3/3,100%)多见。结论 超声可用于鉴别诊断婴儿病理性黄疸,可于早期为临床提供较可靠的诊断线索。 |
| 英文摘要: |
| Objective To explore the application value of ultrasound in early differential diagnosis of infantile pathological jaundice. Methods Seventy-four infants with pathological jaundice were retrospectively analyzed, including 28 cases of infantile hepatitis syndrome, 32 cases of biliary atresia, 8 cases of congenital choledochalcyst, 3 cases of bile duct hypoplasia and 3 cases of neonatal adrenal hemorrhage, of whom the ultrasonographic features were concluded and analyzed. Results For biliary atresia, the gallbladder contraction problem (31/32, 96.88%), the triangular cord sign (30/32, 93.75%) and the fasting gallbladder filling problem (24/32, 75.00%) were mostly observed, for infantile hepatitis syndrome, the fasting gallbladder filling problem (16/28, 57.14%) were mostly observed, for congenital choledochalcyst, the mass without echo at the hepatic portal area (8/8, 100%) were mostly observed, for bile duct hypoplasia, the fasting gallbladder filling problem (3/3, 100%) were mostly observed, and for neonatal adrenal hemorrhage, the mass at adrenal areas (3/3, 100%) were mostly observed. Conclusion Ultrasound can be used in differential diagnosis of infantile pathologic jaundice and provide reliable clinical diagnosis clue at the early stage. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
