探讨超声检查对胆道闭锁的诊断价值  

The Value of Ultrasound in Diagnosis of Biliary Atresia

作　　者：刘绍玲[1] 马进财[2] 王刚[3] 石珊[1] 班永光[1] 滕剑波[1] 王倩 Liu Shaoling;Ma Jincai;Wang gang;Shi Shan;Ban yongguang;Teng Jianbo;Wang Qian(Department of Ultrasound,Shandong Medical Imaging Research Institute,Jinan,Shandong 250021,China)

机构地区：[1]山东省医学影像学研究所超声室,济南市250021 [2]济南市第五人民医院 [3]山东省立医院小儿外科

出　　处：《中国超声医学杂志》2019年第3期247-249,共3页Chinese Journal of Ultrasound in Medicine

基　　金：山东省医药卫生科技发展计划项目(No.2016WS0532)

摘　　要：目的探讨超声检查在胆道闭锁(BA)诊断中的价值。方法收集291例因黄疸就诊的患儿的超声资料,男婴151例,女婴140例,日龄10～89d。BA组132例,非BA组159例。比较"三角索带征"、胆囊及肝动脉在两组病例之间的差异。结果 BA组"三角索带征"显示率为84.84%,厚度为(0.50±0.04)cm,非BA组显示率为9.43%,厚度为(0.21±0.06)cm,两组间比较有显著性差异(P值=0.00)。BA组胆囊显示率为77.27%,非BA组胆囊显示率为100%,胆囊长径及短径在两组间存在显著性差异,P值分别为0.001和0.035。BA组胆囊形态异常占98.03%,非BA组占29.56%,两组间存在显著性差异(P值=0.01)。BA组胆囊收缩功能不良率(100%)明显高于非BA组(37.10%)。BA组肝动脉内径明显大于非BA组(P值=0.043)。结论肝门区"三角索带征"结合胆囊形态及功能异常对胆道闭锁诊断有重要意义。Objective To evaluate the value of ultrasound in diagnosis of biliary atresia(BA).Methods Biliary atresia was found in 132 infants and ruled out in 159 cases including 151 male and 140 female,Comparations of the difference of triangular cord sign,gallbladder,hepatic artery diameter between the two groups were made.Results In BA group,Triangular cord sign was found in 112 patients and the thickness was(0.50±0.04)cm;In non biliary atresia(Non-BA)group,Triangular cord sign was found in 15 patients and the thickness was(0.21±0.06)cm,with a significant difference between the two groups(P=0.000);The gallbladder display rate was 77.27% in BA group and 100% in Non-BA group,the size of gallbladder was significant difference between the two groups.The occurrence rate of abnormal gallbladder shape(98.03%) and the contractibility of gallbladder dysfunction rate(100%)of BA group were significantly higher than those of the Non-BA group(29.56% and 37.10% respectively).The hepatic artery diameter of BA group was more than that of Non-BA group.Conclusions Triangular cord sign combined with abnormal gallbladder shape and dysfunction were useful to make the diagnosis of biliary atresia.

关 键 词：超声检查 胆道闭锁 

分 类 号：R445.1[医药卫生—影像医学与核医学] R725.7[医药卫生—诊断学]