超声影像对新生儿肝炎综合征的应用价值  

Application value of ultrasonography in neonatal hepatitis syndrome

作　　者：周玉帆 ZHOU Yufan(Department of Pediatrics,Xinyang People's Hospital,Xinyang,Henan 464000,China)

机构地区：[1]信阳市人民医院儿科,河南信阳464000

出　　处：《中国医学工程》2022年第2期80-82,共3页China Medical Engineering

摘　　要：目的探讨超声对新生儿肝炎综合征(IHS)的应用价值。方法选取2018年1月至2020年12月信阳市人民医院收治的确诊为IHS新生儿100例作为IHS组,择取该院同期出生的100例健康新生儿作为对照组。所有新生儿用彩色多普勒超声进行检查,测量并分析肝静脉的舒张期血流速(EDV)、收缩期峰值血流速(PSV)、阻力指数(RI)指标,分析3个指标对IHS的预测价值。结果超声提示IHS新生儿中,13例伴有肝硬化,超声特点表现为肝脏表面不光滑、凹凸不平,肝叶比例失调,肝实质回声不均匀增强,肝静脉官腔狭窄、粗细不等;部分伴有脾大、门静脉扩张、门脉侧支开放。7例合并有胆总管扩张,胆总管壁粗糙,暗液区表现为强回声。15例伴有败血症,肝脏光电密集,边缘变锐、肝脾肿大。IHS组EDV、PSI、RI均高于对照组(P<0.05)。结论超声影像对IHS有较高的诊断价值,可以作为诊断IHS的有效方式。【Objective】To investigate the value of ultrasound in the treatment of infantile hepatitis syndrome(IHS).【Methods】A total of 100 neonatal hepatitis syndrome children were selected from January 1,2018 to December 31,2020.The control group was selected from 100 healthy neonates born in the hospital.The end diastolic flow velocity(EDV),peak systolic flow velocity(PSV),and resistance index(RI)of the hepatic vein were measured and analyzed with color Doppler ultrasound.The predictive value of three indexes for neonatal hepatitis syndrome was analyzed.【Results】In the IHS neonates,13 cases were associated with cirrhosis.The ultrasonographic features were unsmooth liver surface,uneven liver lobe proportion,uneven liver parenchyma echo,hepatic venous stenosis,different thickness,some accompanied by splenomegaly,portal vein dilatation,portal vein collateral opening.Seven cases had common bile duct dilatation,rough common bile duct wall and strong echo in dark fluid area.Fifteen patients were complicated with sepsis,photoelectric density of liver,edge sharpening,hepatosplenomegaly.In addition,EDV,PSI and RI in IHS group were higher than those in control group(P<0.05).【Conclusion】Ultrasonography has high diagnostic value in IHS and can be used as a powerful means in the diagnosis of IHS.

关 键 词：新生儿肝炎综合征 超声检查 血流速度 

分 类 号：R722.1[医药卫生—儿科]