| 摘要: |
| [摘要]：目的 探讨胎儿期胆道闭锁的超声特点及其转归。方法 回顾分析2015年1月至2020年4月在我院超声科检查的7例胎儿期胆道闭锁的产前产后超声特点，及产后术中造影、术后转归。结果 4例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, 胆囊大小随孕周亦改变不明显。出生后超声为胆囊偏小、僵硬、餐后无明显收缩，肝门处纤维斑块。3例产前胆囊始终未显示，产后胆囊未显示，肝门处纤维斑块。转归：2例母体肝移植成功，1例Kasai手术治疗成功，1例肝脏明显硬化，目前等待肝移植，3例放弃治疗。结论 产前超声提示胆囊始终未显示，整个孕期肝门部囊性肿块大小无显著变化，或孕晚期较孕中期缩小时应考虑产前胆道闭锁。产前及时诊断胆道闭锁，产后早期手术治疗对患儿预后非常重要。 |
| 关键词: 胎儿 胆道闭锁 超声 转归 |
| DOI： |
| 投稿时间：2020-07-15修订日期：2022-06-13 |
| 基金项目: |
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| Ultrasound characteristics and outcome of fetal biliary atresia |
| yanglinxian,huangweifei,wuxiafang,wangxiaofeng,zhoujingya |
| () |
| Abstract: |
| [Abstract]: Objective To explore the ultrasound characteristics and outcome of fetal biliary atresia.Methods Retrospective analysis of the prenatal and postnatal ultrasound characteristics of 7 cases of fetal biliary atresia examined in the ultrasound department of our hospital from January 2015 to April 2020, as well as postoperative intraoperative angiography and postoperative outcomes.Results 4 cases of prenaal ultrasound showed cystic masses in the hilum of the liver, with regular morphology and good sound transmission. The size of the masses did not change significantly with the increase of gestational age, or slightly reduced, Gallbladder size does not change significantly with gestational age. After birth, the ultrasound showed that the gallbladder was small, stiff, without obvious contraction after meals, and fibrous plaques at the hilum of the liver. 3 cases of prenatal gallbladder were never shown, postnatal gallbladder was not shown, and fibrous plaque at the hilum of the liver. Outcome: 2 cases of maternal liver transplantation were successful, 1 case of Kasai surgery was successful, 1case had marked liver cirrhosis and is currently waiting for liver transplant, 3 patients gave up treatment.Conclusion Prenatal ultrasound showed that the gallbladder has not been shown. The size of the cystic mass in the hilum of the whole pregnancy has not changed significantly, or the prenatal biliary atresia should be considered when the third trimester is smaller than the second trimester. Diagnosis of biliary atresia in time before childbirth,and early postpartum surgical treatment is very important for the prognosis of children. |
| Key words: Fetus Biliary atresia Ultrasound Outcom |
