婴儿型多囊肾超声诊断分析.docVIP

婴儿型多囊肾超声诊断分析 　　【摘要】 目的 探讨婴儿型多囊肾(Infantile polycystic kidney disease IPKD)的超声诊断价值。方法 应用常规超声与高频超声检查相结合的方法，对常规超声检查可疑的IPKD患者进一步进行高频超声检查，重点观察双肾及肝胆情况。结果 8例IPKD患者常规超声显示双肾回声增强，皮髓质界线不清，高频超声均显示出了其内多发、散在小囊肿。6例合并肝脏门静脉周围纤维化、肝内胆管扩张。结论 婴儿型多囊肾有其典型的声像图表现，高频超声在婴儿型多囊肾的诊断中有重要的实用价值。? 　　【关键词】 多囊肾； 常染色体隐性； 超声诊断?? 　　Ultrasounddiagnosisanalysisofinfantile polycystic kidney disease 　　 　　HE Feng?rong.Department of paediatrics,Taikang country of People’s Hospital，Henan461400,China 　　? 　　【Abstract】 Objective To discuss the value of ultrasound diagnosis in the infantile polycystic kidney disease.Methods Application of a combination of methods of conventional ultrasonography and high?frequency ultrasonography，both kidneys，liver and gallbladder were examainated with high?frequency ultrasonography when the IPKD was suspected with conventional ultrasonography.Results Conventional ultrasonography revealed kidneys increased echogenicity and loss of corticomedullary differentiation in 8 cases of IPKD,but microcysts in both rend medulla and cortex could be found by high?frequency ultrasonography.6 cases combined liver fibrosis around the portal vein and intrahapatic biliary dilatation.Conclusion Infantile polycystic kidney disease with its typical ultrasonographic appearance.High?frequency ultrasonography plays an impotant practical value for diagnosis ofIPKD.? 　　【Key words】 　　Polycystic kidney； Autosomal recessive； Ultrasound diagnosis 　　 　　婴儿型多囊肾(Infantile polycystic kidney disease,IPKD)又称常染色体隐性遗传性多囊肾(Autosomal recessive polycytic kidney disease,ARPKD),是一种常染色体隐性遗传病。其发病率约1/6000~10000［1］。常规超声在本病的诊断中有提示作用，但有一定的局限性，高频超声对IPKD的诊断有很大帮助。现将我院应用常规超声加高频超声所诊断的IPKD8例回顾性分析如下。? 　　1 资料与方法? 　　2003年2月至2010年9月经我院超声结合临床共诊断IPKD8例，男4例，女4例。年龄2个月~10岁。其??5例以肝脾肿大、腹胀、食欲减低就诊；2例以呼吸急促、咳嗽、发绀就诊；1例合并发热及腰痛；1例于08年9月问题奶粉事件进行泌尿系体检中发现，无任何临床症状。上述所有患者均进行了血、尿常规，肝、肾功能及腹部CT检查。? 　　检查仪器为GE Logiq 500 MD及日立EUB?5500彩色多普勒超声显像仪，常规凸阵探头频率3~5 MHz，高频线阵探头频率7~10 MHz及6~13 MHz。首先应用低频探头扫查肝、胆、胰、脾、肾及腹盆腔，然后应用高频探头重点扫查双肾、肝脏及胆系统。着重观察肾脏大小、回声强度、血流充盈情况及