超声对胆道闭锁及非胆道闭锁性黄疸患儿的鉴别研究-影像医学与核医学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要··········································································································1 英文摘要··········································································································4 英文缩写··········································································································8 研究论文 超声对胆道闭锁及非胆道闭锁性黄疸患儿的鉴别研究 前言··········································································································9 材料与方法·····························································································11 结果·········································································································13 附图·········································································································15 附表·········································································································19 讨论·········································································································23 结论··········································································································29 参考文献·································································································30 综述 声辐射力脉冲成像技术及其他检查在胆道闭锁中的研究现状······33 致谢·················································································································41 个人简历·······································································································42 中 中 文 摘 要 PAGE 1万方数据 PAGE 1 万方数据 超声对胆道闭锁及非胆道闭锁性黄疸患儿的鉴别研究 摘 要 目的：胆道闭锁性黄疸与非胆道闭锁性黄疸的临床症状、实验室检 查及声像图表现有部分重叠性，但两者的治疗及预后完全不同，所以及 早鉴别尤为重要。本研究旨在探讨超声检查在婴幼儿胆道闭锁及非胆道 闭锁性黄疸中的诊断价值，从而为临床提供一定的理论依据；通过声辐 射力脉冲（acoustic radiation force impulse, ARFI）所测定的弹性参数，研 究其与肝脏纤维化是否具有相关性。 方法：选取 2014 年 8 月-2015 年 11 月我院门诊及住院收治的 52 例 病理性黄疸患儿作为病例组，分为胆道闭锁性黄疸组 22 例及非胆道闭锁 性黄疸组 30 例，正常对照组 20 例。用 PHILIPS-IU22 型彩色多普勒超声 诊断仪测量胆囊大小及胆囊收缩率、肝动脉内径，观察胆囊形态结构、 肝门前纤维块及肝被膜下血流情况。应用 Siemens AcusonS 2000 彩色超 声诊断仪，配置 ARFI 成像技术软件，测量剪切波速度