不典型儿童先天性胆总管囊肿临床诊断探析.docVIP

不典型儿童先天性胆总管囊肿临床诊断探析 　　[摘要] 目的 探讨不同诊断方法对不典型儿童先天性胆总管囊肿的临床诊断价值。方法 将该院自2014年8月―2016年8月间收治的经手术病理证实的不典型儿童先天性胆总管囊肿患者47例作为研究对象，患儿在入院后分别接受超声、计算机断层扫描、上消化道钡餐造影、磁共振胆胰管成像、腹腔镜胆造影等影像学检查，分析各诊断技术的确诊率。结果 超声检查和CT检查手术病理符合率分别为46.67%和76.92%，显著低于上消化道钡餐造影、磁共振胆胰管成像和腹腔镜胆造影的确诊率（100.00%）。 结论 对于不典型儿童先天性胆总管囊肿患儿来说使用上消化道钡餐造影、磁共振胆胰管成像和腹腔镜胆道造影具有较高的诊断价值，可在临床范围内推广使用 [关键词] 儿童；先天性胆总管囊肿；影像学检查；临床诊断 [中图分类号] R726.5 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0177-03 Analysis of Clinical Diagnosis of Congenital Cyst of Common Bile Duct of Untypical Children CHEN Hong Department of Pediatric Internal Medicine， Kangxian First Peoples Hospital，Kangxian， Gansu Province， 746500 China [Abstract] Objective To discuss the clinical diagnosis value of different diagnosis methods on the congenital cyst of common bile duct of untypical children. Methods 47 cases of patients with congenital cyst of common bile duct of untypical children proved by the operative pathology admitted and treated in our hospital from August 2014 to August 2016 were selected as the research objects， after admission， the children received the imaging examinations such as ultrasound， computed tomography， upper gastrointestinal barium angiography， magnetic resonance cholangiopancreatography and angiography in laparoscopic bile and the diagnosis rate of various diagnosis technologies were analyzed. Results The operative pathology coincidence rate of ultrasonic examination and CT examination was respectively 46.67% and 76.92%， which was obviously lower than the diagnosis rate of upper gastrointestinal barium meal radiography， magnetic resonance cholangiopancreatography and angiography in laparoscopic bile（100.00%）. Conclusion For congenital cyst of common bile duct of untypical children， the upper gastrointestinal barium meal radiography， magnetic resonance cholangiopancreatography and angiography in laparoscopic bile has a higher diagnosis value， which can be promoted and applied in clinical range. [Key words] Children； Congenital cys