先天性胆道閉鎖症における超音波診断の臨床的意義に関する検討

概要

論文の詳細を見る
Early diagnosis and differentiation of CBA from neonatal hepatitis is very essential. Many investigations including labolatory, radiographic and radioisotopic tests have been practised. Ultrasonographic examination of the liver and biliary tree is a recent addittion to these tests. Twenty-one cases of intants with hyperbilirubinemia who had US examinations and other tests have been studied and reviewed. In seven patients gall bladder could not be identified by US examination and preoperatively diagnosed as CBA. One case of CBA had small, round, atrophic gall bladder. Cystic dilatation of extrahepatic biliary tree were found in some special cases of CBA. All patients with neonatal hepatititis and congenital biliary dilatation had normal gall bladder which shrinked after Ceosnin injection. However the gall bladddr in infants with CBA did not change in shape and size after Ceosnin administration. US examination offer many usuful informations in patients with suspected CBA for differentiation of obstractive jaundice.
日本小児外科学会の論文
1988-02-20