大理大学学报 ›› 2020, Vol. 5 ›› Issue (2): 17-22.DOI: 10. 3969 / j. issn. 2096-2266. 2020. 02. 005

• 中华医学会2019年小儿外科西部行专栏 • 上一篇    下一篇

胆道闭锁超声诊断的研究进展

刘娜娜1,2 ,李鑫1,3 ,詹江华 4*   

  1. (1.天津医科大学研究生院,天津 300070;2.天津市静海区医院儿科,天津 301600;3.乌鲁木齐
    儿童医院普外科,乌鲁木齐 830000;4天津市儿童医院普外科,天津 300134)
  • 收稿日期:2019-03-25 修回日期:2019-11-13 出版日期:2020-02-15 发布日期:2020-02-15
  • 通讯作者: 詹江华,主任医师,博士,E-mail:zhanjianghuatj@163.com。
  • 作者简介:刘娜娜,主任医师,主要从事小儿肝胆畸型和呼吸疾病研究。

Advances in Ultrasound Diagnosis of Biliary Atresia

Liu Nana 1, 2 , Li Xin 1, 3 , Zhan Jianghua 4*   

  1. (1. Graduate School of Tianjin Medical University, Tianjin 300070, China; 2. Department of Pediatrics, Tianjin Jinghai District
    Hospital, Tianjin 301600, China; 3. Department of General Surgery, Wulumuqi Children′s Hospital, Wulumuqi 830000, China;
    4. Department of General Surgery, Tianjin Children′s Hospital, Tianjin 300134, China)
  • Received:2019-03-25 Revised:2019-11-13 Online:2020-02-15 Published:2020-02-15

摘要: 超声检查因其独有的优势成为胆道闭锁的首选检查方法。随着超声医生逐渐专业化和技术设备水平的提高,超声检
查对胆道闭锁患儿的观察更趋细化,不断有学者就此展开研究并提出不同的异常影像改变。胆道闭锁在产前超声中能够显示
的异常影像改变主要包括囊性胆道闭锁和胆囊不可探及等。产后超声诊断胆道闭锁应对多种影像学表现综合分析,包括胆囊
是否存在,胆囊大小、形态、壁的改变,进食后胆囊收缩状态,三角征,肝被膜下血流及肝动脉扩张等表现。就胆道闭锁在产前、
产后异常的超声表现及其诊断价值的研究进展作一综述。

关键词: 胆道闭锁, 超声检查, 产前诊断, 产后诊断

Abstract: Ultrasound is the first choice for biliary atresia due to its unique advantages. With the increasing professionalization of
ultrasound doctors and the improvement of technical equipment, ultrasound observation of children with biliary atresia has become
more and more detailed, and scholars have continued to study on this and proposed different abnormal image changes. The abnormal
image changes that biliary atresia can show in prenatal ultrasound include cystic biliary atresia and non-visualization of gallbladder.
Ultrasound diagnosis of postnatal biliary atresia should comprehensively analyze multiple imaging manifestations, including the
presence of the gallbladder, changes in the size, shape, and wall of the gallbladder, gallbladder contraction status after eating, triangle
signs, subcapsular blood flow, and hepatic artery dilatation. This article reviews the advances in ultrasound findings and diagnostic
value of biliary atresia before and after birth.

Key words: biliary atresia, ultrasound, prenatal diagnosis, postnatal diagnosis