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Eur Radiol:以US之眼发展地看婴儿胆道闭锁

2017-12-22 shaosai MedSci原创

本研究旨在验证超声(US)诊断出生30天内婴儿胆道闭锁(BA)的表现,并与出生超过30天的婴儿超声表现相比较,研究人员将结果发表在Eur Radiol上。

本研究旨在验证超声(US)诊断出生30天内婴儿胆道闭锁(BA)的表现,并与出生超过30天的婴儿超声表现相比较,研究人员将结果发表在Eur Radiol上。

自2000-2015年间,研究人员共回顾性分析了12例出生30天内BA婴儿(年少BA组)及62例出生超过30天BA婴儿(年长BA组)的行肝门空肠吻合术前的肝胆US图像。年少BA组中共8例(67%)在肝门空肠吻合术前进行了US随访。研究人员对US图像分析集中在三管征、胆囊(GB)异常、血管改变及门静脉高压表现。

结果为,年少BA组共有17%的患者出现三管征,而在年长BA组共有56%的患者出现三管征(P=.024)。两组中胆囊异常均较常见。在年少BA组肝动脉直径要明显小于年长BA组(P<.001)。门静脉高压在年少BA组(17%)要比年长BA组(84%)更为少见(P<.001)。在随访中,年少BA组新出现三管征。

本研究表明,出生30天之内的婴儿BA US表现并不像出生超过30天的婴儿典型。

原始出处:

Hwang SM, Jeon TY, Yoo SY. et al.Early US findings of biliary atresia in infants younger than 30 days.Eur Raidol.DOI: 10.1007/s00330-017-5092-5

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