临床小儿外科杂志Issue(6)：534-536,3.DOI:10.3969/j.issn.1671-6353.2014.06.019
儿童先天性胆管扩张症综合影像评价
The comprehensive imaging evaluation of congenital biliary dilatation in children
摘要
Abstract
Objetive To analyze Congenital Biliary Dilatation(CBD)imaging features and compare ima-ging procedure with histological and pathological findings with regard to early diagnosis. Methods A retro-spective analysis was conducted on 40 pediatric patients with CBD.Imaging findings were compared with histol-ogy and pathology.Two experienced radiologists independently reviewed the imagings,then reached diagnostic conclusions by consensus.Results Dilatation of the bile duct was seen in all 40 subjects who underwent com-puted tomography (CT)and in the 35 subjects who underwent ultrasonography (US).13 cases underwent magnetic resonance cholangiopancreatography (MRCP)and 10 cases were found CBD accompanied with panc-teaticobilliary maljunction(PBM).39 subjects successfully underwent intraoperative cholangiography.Imaging and surgery type:typeⅠincludes 28 cases (with cystic in 22,among which 6 cases showed spindle or cylindri-cal);type Ⅱ includes 2 cases;typeⅣ includes 10 cases. Conclusion CT and MRCP,US and intraoperative cholangiography have a high value on diagnosing pediatric CBD,showing dilatation of the bile duct and compli-cations.MRCP gives clear views of the pancreaticobiliary maljunction and should be the first choice for the di-agnosis of CBD with PBMin children.关键词
胆管/畸形/体层摄影术,X 线计算机/超声检查/磁共振成像/诊断Key words
Bile Ducts/AB/Tomography,X-Ray Computed/Ultrasonography/Magnetic Resonance Imaging/Diagnosis引用本文复制引用
黄顺根,郭万亮,汪健..儿童先天性胆管扩张症综合影像评价[J].临床小儿外科杂志,2014,(6):534-536,3.基金项目
苏州市临床重点病种诊疗技术专项项目（编号LCZX201306）。 （）
