摘要
目的分析高频超声对于胆道闭锁性和非胆道闭锁性黄疸患儿胆囊结构形态的诊断价值。方法选取本院2005年7月至2015年7月收治的25例胆道闭锁性黄疸患儿和27例非胆道闭锁性黄疸患儿作为研究对象,回顾性分析其临床资料和胆囊的高频超声图像结果,分析其形态结构、胆囊长径及前后径。分别采用类似胆囊结构及胆囊长径为25 mm时为临界点(第1种方法)及类似胆囊结构及胆囊前后径为6 mm时为临界点(第2种方法),对胆道闭锁性黄疸与非胆道闭锁性黄疸患儿分别进行诊断。结果从就诊日龄来看,胆道闭锁组与非胆道闭锁组经统计分析,不具有显著性差异(P>0.05);而从类似胆囊结构及胆囊长径来看,胆道闭锁组明显短于非胆道闭锁组,经统计分析,具有统计学差异(P<0.05);从类似胆囊结构及胆囊前后径来看,经统计分析,具有统计学差异(P<0.05)。第1种方法和第2种方法对胆道闭锁性黄疸的检出率经统计分析,不具有统计学差异(P>0.05),而第1种方法对非胆道闭锁性黄疸的检出率则明显高于第2种方法(P<0.05)。结论胆道闭锁性黄疸其类似胆囊结构、胆囊长径及前后径均比非胆道闭锁性黄疸小,采用高频超声检查可清晰显示出胆囊的结构形态,对于诊断正常胆囊结构与类似胆囊结构有良好的临床应用价值。将类似胆囊结构及胆囊长径为25 mm时作为临界点,对诊断胆道闭锁性黄疸与非胆道闭锁性黄疸有较高的应用价值。
Objective To analysis the diagnostic value of high-frequency ultrasound for biliary atresia and non-biliary atresia in children with jaundice gallbladder morphology. Methods 25 cases of children with biliary atresia jaundice, 27 cases of non-biliary jaundice in the hospital from July 2005 to July 2015 were chosen as objects of study, their clinical data and high-frequency ultrasound gallbladder image results were analyzed retrospectively, and morphology, gallbladder long diameter and anteroposterior diameter were also analyzed. Similar structures and gallbladder long diameter of 25 mm were used at the critical point(method 1) and similar structure and gallbladder anteroposterior diameter of 6 mm were used at the critical point(second method), jaundice and biliary atresia non-biliary atresia in children jaundice were diagnosed. Results From the clinic days, the biliary atresia biliary atresia group and non-group were statistically analyzed, there was no significant difference(P>0.05); and from a similar structure and gallbladder diameter long run, biliary atresia group was significantly shorter than that non-biliary atresia group, through the statistical analysis, there was a significant difference(P<0.05); from a similar gallbladder structure and gallbladder anteroposterior view, through the statistical analysis, there was a significant difference(P<0.05). The first method and the second method of biliary atresia jaundice detection rate by statistical analysis, there was no significant difference(P>0.05), and from the detection rate, the first one kind of method for non-biliary atresia jaundice was significantly higher than the second method(P<0.05). Conclusions The biliary atresia jaundice which is similar to the structure of the gallbladder, gallbladder long diameter and anteroposterior diameter were smaller than that of non-biliary atresia jaundice, using high-frequency ultrasound can clearly show the structure and morphology of the gallbladder, the diagnosis of normal gallbladder gallbladder structure similar
出处
《中华临床医师杂志（电子版）》
CAS
2016年第20期3043-3046,共4页
Chinese Journal of Clinicians(Electronic Edition)
关键词
超声检查
胆道闭锁
黄疸
胆囊结构
诊断价值
High frequency ultrasound
Biliary atresia
Jaundice
Gallbladder structure
Diagnostic value
