摘要
目的总结胎儿期胆道闭锁的超声特征。方法收集我院确诊的7例胎儿期胆道闭锁病例的检查资料,总结其产前、产后超声特征,以及产后转归。结果4例胎儿产前超声表现为肝门部囊性肿块,形态规则,透声佳,肿块大小随孕周增加改变不明显,或稍缩小,胆囊大小随孕周增加亦改变不明显;产后超声表现为胆囊偏小、僵硬、餐后无明显收缩。3例胎儿产前超声表现为胆囊始终未显示;产后超声表现为胆囊未显示,肝门部见纤维斑块。产后转归:2例母体供肝移植成功;1例Kasai手术治疗成功;1例肝脏明显硬化,父体供肝移植成功;3例放弃治疗。结论超声表现为胆囊始终未显示,整个孕期肝门部囊性肿块大小无明显变化或孕晚期较孕中期缩小时应考虑胆道闭锁可能;应用超声及时诊断对产后早期手术治疗有重要意义。
Objective To summarize the ultrasonic characteristics of fetal biliary atresia.Methods The ultrasonographic data of 7 cases of fetal biliary atresia confirmed in our hospital were collected,the prenatal and postnatal ultrasonic characteristics were retrospectively analyze,as well as the postnatal outcomes.Results Prenatal ultrasound images showed that cystic masses in the hepatic hilum in 4 cases,with regular morphology and good acoustic penetration.Tumor size was increased with the gestational age,the change of mass size was not obvious or slightly decreased,and the change of gallbladder size was not obvious as well.Postnatal ultrasound images showed that small gallbladder size,stiff gallbladder wall and no obvious postprandial contraction.In 3 cases,prenatal ultrasound images showed no gallbladder,postnatal ultrasound images showed no gallbladder and fibrous plaque in the hepatic hilum.Postnatal outcome:there were 2 cases who successfully received maternal donor liver transplantation,1 case who successfuly received Kasai surgery,1 case with obvious liver cirrhosis who successfuly received paternal donor liver transplantation,and 3 cases who gave up treatment.Conclusion Ultrasound images showed that the gallbladder is never shown,the size of hilar hepatic cyst is not change significantly during the whole pregnancy,or the size of hilar hepatic cyst in the late trimester is smaller than that in the middle trimester,which should be considered as the fetal biliary atresia.
作者
杨林仙
黄卫飞
周静雅
汪晓凤
伍霞芳
YANG Linxian;HUANG Weifei;ZHOU Jingya;WANG Xiaofeng;WU Xiafang(Department of Ultrasound,Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University,Zhejiang 317000,China)
出处
《临床超声医学杂志》
CSCD
2022年第7期549-551,共3页
Journal of Clinical Ultrasound in Medicine
关键词
超声检查
胎儿
胆道闭锁
Ultrasonography
Fetus
Biliary atresia
