胆道闭锁的影像学诊断研究进展

Advances in the imaging diagnosis of biliary atresia

  • 摘要: 胆道闭锁(BA)是导致小儿梗阻性黄疸的常见疾病之一。患儿在40~60 d内行手术治疗效果好,超过90 d因发展为肝硬化、肝衰竭而导致病情难于逆转,因此该病的早期诊断非常重要。BA的影像学诊断方法主要有腹部超声、放射性核素肝胆动态显像、磁共振胰胆管造影、胆管造影等,它们既有各自独特的优势,也有其相应不足。该文将对BA的影像学诊断方法进行综述。

     

    Abstract: Biliary atresia(BA)is a common cause of obstructive jaundice in infancy. Surgical treat-ment for infant patients has good result within 40 to 60 days. But the disease can hardly be cured after 90 days when it turns out to be liver cirrhosis or liver failure. So it is important to make the early and differential diagnosis as soon as possible. Main imaging methods of BA include ultrasonography, hepatobiliary dynamic imaging, magnetic resonance cholangiopancreatography and cholangiography. Each method has its own advantage and shortage. This article summarizes the present situation and progress of the imaging method in the diagnosis of BA.

     

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