Ultrasonic diagnosis of biliary atresia: A retrospective analysis of 20 patients

被引:17
|
作者
Li, Shi-Xing [2 ]
Zhang, Yao [2 ]
Sun, Mei [1 ]
Shi, Bo [2 ]
Xu, Zhong-Yi [2 ]
Huang, Ying [3 ]
Mao, Zhi-Qin [1 ]
机构
[1] China Med Univ, Dept Internal Med Childhood, Shengjing Hosp, Shenyang 110004, Liaoning, Peoples R China
[2] China Med Univ, Shengjing Hosp, Dept Ultrasound, Shenyang 110004, Liaoning, Peoples R China
[3] China Med Univ, Shengjing Hosp, Dept Pediat Surg, Shenyang 110004, Liaoning, Peoples R China
关键词
biliary atresia; ultrasonic diagnosis; the triangular cord; maldevelopement of gallbladder; magnetic resonance imaging;
D O I
10.3748/wjg.14.3579
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AIM: To investigate the clinical value of ultrasonographic diagnosis of biliary atresia (BA), a retrospective analysis of the sonogram of 20 children with BA was undertaken. METHODS: Ultrasonography (US) was performed in 20 neonates and infants with BA, which was confirmed with cholangiography by operation or abdominoscopy. The presence of triangular cord, the size and echo of liver, the changes in empty stomach gallbladder and postprandial gallbladder were observed and recorded. RESULTS: The triangular cord could be observed at the porta hepatis (thickness: 0.3-0.6 cm) in 10 cases. Smaller triangular cord (0.2-0.26 cm) can be observed in 3 cases. The gallbladder was not observed in 2 cases, and 1 case showed a streak gallbladder without capsular space. The gallbladders of 15 cases were flat and small. The gallbladders of 2 cases were of normal size and appearance, however, there was no postprandial contraction. The livers of all cases showed hepatomegaly and hetreogeneous echogenicity. Statistical analysis was performed to compare the hepatomegaly and hetreogeneous echogenicity and the stage of hepatic fibrosis. CONCLUSION: The presence of the triangular cord at the porta hepatis is specific. However, it is not the only diagnostic criterion, since flat and small gallbladder and poor contraction are also of important diagnostic and differential diagnostic significance. The degree of hepatomegaly and hetreogeneous echogenicity is proportional with liver fibrosis, and able to indicate the duration of course and prognosis. (C) 2008 The WJG Press. All rights reserved.
引用
收藏
页码:3579 / 3582
页数:4
相关论文
共 50 条
  • [2] Diagnosis and treatment of biliary atresia: a retrospective study
    Shao-Tao Tang
    [J]. Hepatobiliary & Pancreatic Diseases International, 2005, (01) : 108 - 112
  • [3] Ultrasonic characteristics analysis of fetal biliary atresia
    Weng, Z.
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2023, 62 : 152 - 153
  • [4] DIAGNOSIS OF BILIARY ATRESIA
    DORNEY, SFA
    KAMATH, KR
    MIDDLETON, AW
    KAN, A
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1983, 308 (16): : 968 - 968
  • [5] Ultrasound for the Diagnosis of Biliary Atresia: A Meta-Analysis
    Zhou, Luyao
    Shan, Quanyuan
    Tian, Wenshuo
    Wang, Zhu
    Liang, Jinyu
    Xie, Xiaoyan
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2016, 206 (05) : W73 - W82
  • [6] Biliary atresia: US diagnosis
    Humphrey, Terry M.
    Stringer, Mark D.
    [J]. RADIOLOGY, 2007, 244 (03) : 845 - 851
  • [7] ERCP IN THE DIAGNOSIS OF BILIARY ATRESIA
    KAY, M
    WYLLIE, R
    SIVAK, MV
    [J]. GASTROINTESTINAL ENDOSCOPY, 1992, 38 (02) : 199 - 199
  • [8] LAPAROSCOPY IN THE DIAGNOSIS OF BILIARY ATRESIA
    PORRECA, A
    SETTIMI, A
    [J]. MEDICINA-RIVISTA DELLA ENCICLOPEDIA MEDICA ITALIANA, 1986, 6 (02): : 173 - 175
  • [9] EARLY DIAGNOSIS OF BILIARY ATRESIA
    UEDA, T
    [J]. AUSTRALIAN PAEDIATRIC JOURNAL, 1977, 13 (03): : 216 - 216
  • [10] HISTOCHEMICAL DIAGNOSIS OF BILIARY ATRESIA
    MORAGAS, A
    [J]. LANCET, 1968, 2 (7567): : 576 - &