摘要
目的探讨磁共振胰胆管成像(MRCP)和核素肝胆动态显像在婴儿持续性黄疸诊断中的价值。资料与方法 17例持续性黄疸患儿,男11例,女6例,平均年龄82天。均行腹部MR平扫及MRCP检查,同期行核素肝胆动态显像,将两种检查方法的结果与手术病理及临床治疗结果进行统计学分析和比较。结果 17例经MRCP检查诊断胆道闭锁者9例,胆总管囊肿1例,胆总管远端梗阻1例;腹部未见异常6例。经核素肝胆动态显像诊断胆道闭锁13例、乳儿肝炎4例。12例术后诊断胆道闭锁者8例,术中胆道造影显示胆汁黏稠3例,左右肝管狭窄合并胆汁黏稠1例。经实验室检查证实、治疗后症状好转临床诊断乳儿肝炎5例。结论在婴儿持续性黄疸的诊断中,腹部MRCP和核素肝胆动态显像技术联合应用具有敏感性、特异性高的特点,对制定手术方案具有重要意义。
Objective To explore the value of Magnetic Resonance Cholangiopancreatography （MRCP） and Hepatobiliary Scintigraphy in the diagnosis of infants’ prolonged jaundice. Materials and Methods 17 cases of prolonged jaundice （male 11 cases and female 6 cases,mean age 82 days） underwent MRCP examination and hepatobiliary scintigraphy in the same period,then the results compare with clinical diagnosis. Results The MRCP diagnosis results of 17 cases were biliary atresia 9 cases,choledochal cyst 1 case,obstrucrion of the end of common bile duct 1 case,no abnormal 6 cases. Hepatobiliary Scintigraphy diagnosis were 13 cases of biliary atresia and neonatal hepatitis 4 cases. 12 cases were treated by surgery and the diagnosis were biliary atresia 8 cases and bile viscous 3 cases,hepatic duct stenosis 1 case. Clinical diagnosis of 5 cases neonatal hepatitis by chemical examination confirmed. Conclusion Combine MRCP and hepatobiliary scintigraphy havehigh rsensitivity and specificity in infant’s prolonged jaundice,its important to the plan of treatment.
出处
《临床放射学杂志》
CSCD
北大核心
2010年第8期1090-1093,共4页
Journal of Clinical Radiology
关键词
磁共振胰胆管成像
肝胆动态显像检查
婴儿持续性黄疸
Magnetic resonance cholangiopancreatography Hepatobiliary scintigraphy Infants’ prolonged jaundice
