高频超声对早产新生儿胆囊充盈及收缩功能的探讨

摘要
图/表
参考文献(22)
相关文章 (15)

全文: PDF (0 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的：应用高频超声对早产新生儿空腹和餐后胆囊容积测定，探讨早产新生儿胆囊充盈状态及收缩功能。方法：应用Terason t3000彩色多普勒超声诊断仪检查空腹及餐后胆囊，并计算胆囊容积及收缩率。结果：①67例早产新生儿空腹胆囊容积0.086 mL（0.028，0.186），42例足月新生儿空腹胆囊容积0.292 mL（0.102，0.671），早产新生儿空腹胆囊容积明显小于足月新生儿，P<0.05，空腹胆囊呈现充盈不良，形态不饱满。②早产新生儿胆囊收缩不良比例（16/46，34.8%）明显高于足月新生儿（5/36，15.9%），χ2=4.628，P<0.05。结论：早产新生儿空腹胆囊容积小，部分（34.8%）合并胆囊收缩功能不良，提示早产儿胆囊大小及功能发育尚未完善；与胆道闭锁的鉴别显得尤为重要。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	鞠浩
	纪超
	李士星
	冯舒
	乔伟

关键词 ：胆囊, 婴儿, 早产, 超声检查, 多普勒, 彩色

Abstract：Objective: To determine the volume of the gallbladder after fasting and postprandial in preterm neonates using a high-frequency transducer, and to discuss the fasting filling state and contraction rate of the gallbladder in preterm neonates. Methods: Terason t3000 color Doppler ultrasound diagnostic apparatus was used to examine the gallbladder after fasting and postprandial and to calculate the volume and contraction rate of the gallbladder. Results: ①The average volume of the gallbladder after fasting in 67 preterm neonates was 0.086 mL(0.028, 0.186), which was significantly smaller than that in 42 term neonates which was 0.292 mL(0.102, 0.671), P<0.05. ②Poor contraction in preterm neonates(16/46, 34.8%) was significantly higher than that in term neonates(5/36, 13.9%), χ2=4.628，P<0.05. Conclusion: The gallbladder volume in preterm neonates after fasting was smaller than that in term neonates, and was combined with poor contraction in some cases, suggesting that the size and function of the gallbladder in preterm neonates was not yet well developed, and needed to be carefully distinguished from biliary atresia.

Key words： Gallbladder Infant, premature Ultrasonography, Doppler, color

收稿日期: 2016-11-11

PACS:	Ｒ722.1
	Ｒ445.1

通讯作者: 李士星，中国医科大学附属盛京医院超声科，110004。E-mail：lisx630106@163.com

作者简介: 鞠浩（1985-），男，山东诸城人，医师。E-mail：18940257518@163.com

引用本文:

鞠浩，纪超，李士星，冯舒，乔伟. 高频超声对早产新生儿胆囊充盈及收缩功能的探讨[J]. 中国临床医学影像杂志, 2017, 28(7): 492-495.
JU Hao, JI Chao, LI Shi-xing, FENG Shu, QIAO Wei. The filling state and contraction rate of the gallbladder in preterm neonates using#br# a high-frequency transducer. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(7): 492-495.

链接本文:

http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2017/V28/I7/492

[1]Crawford JM. Development of the intrahepatic biliary tree[J]. Semin Liver Dis, 2002, 22(3): 213-226.
[2]Kim WS, Cheon JE, Youn BJ, et al. Hepatic arterial diameter measured with US: adjunct for US diagnosis of biliary atresia[J]. Radiology, 2007, 245(2): 549-555.
[3]Gardikis S, Antypas S, Kambouri K, et al. The Roux-en-Y procedure in congenital hepato-biliary disorders[J]. Rom J Gastroenterol, 2005, 14(2): 135-140.
[4]Davenport M, Caponcelli E, Livesey E, et al. Surgical outcome in biliary atresia: etiology affects the influence of age at surgery[J]. Ann Surg, 2008, 247(4): 694-698.
[5]Uchida K, Urata H, Suzuki H, et al. Predicting factor of quality of life in long-term jaundice-free survivors after the Kasai operation[J]. J Pediatr Surg, 2004, 39(7): 1040-1044.
[6]Ho ML, Chen JY, Ling UP, et al. Gallbladder volume and contractility in term and preterm neonates: normal values and clinical applications in ultrasonography[J]. Acta Pediatr, 1998, 87(7): 799-804.
[7]沈晓明，王卫平. 儿科学[M]. 7版. 北京：人民卫生出版社，2008：88.
[8]Dodds WJ, Groh WJ, Darweesh RM, et al. Sonographic measurement of gallbladder volume[J]. AJR, 1985, 145(5): 1009-1011.
[9]Wedmann B, Schmidt G, Wegener M, et al. Sonographic evaluation of gallbladder kinetics in vitro and vivo comparison of different methods to assess gallbladder emplying[J]. J Clin Ultrasound, 1991, 19(6): 341-349.
[10]Tadaharu O, Go M, Atsuyuki Y, et al. Diagnostic laparoscopy-assisted cholangiography in infants with prolonged jaundice[J]. Pediatr Surg Int, 2006, 22(2): 140-143.
[11]Hoan MM, Yeon CJ, Hee KJ, et al. In utero development of the fetal gall bladder in the Korean population[J]. Kor J Radiol, 2008, 9(1): 54-58.
[12]Tanaka Y, Senoh D, Hata T. Is there a human fetal gallbladder contractility during pregnancy?[J]. Hum Reprod, 2000, 15(6): 1400-1402.
[13]孙智勇，孙荃，白薇，等. 早产儿生后黄疸情况的研究[J]. 中国妇幼保健，2004，19（1）：59-60.
[14]Jazrawi RP. Review article: measurement of gall-bladder motor function in health and disease[J]. Aliment Pharmacol Ther, 2000, 14(Suppl 2): 27-31.
[15]Doyle JS, Farrar JT. A sphincteric mechanism in the cystic duct of dogs[J]. Ir J Med Sci, 1969, 8(3): 109-117.
[16]Doty JE, Pitt HA, Porter-Fink V, et al. The effect of intravenous fat and total parenteral nutrition on biliary physiology[J]. JPEN, 1984, 8(3): 263-268.
[17]Hisami A. Embryology of the biliary tract[J]. Dig Surg, 2010, 27(2): 87-89.
[18]Apgar VA. Proposal for a new method of evaluation of the newborn infant[J]. Curr Res Anesth Analg, 1953, 32(4): 260-267.
[19]李士星，冯舒，张尧，等. 胆道闭锁的超声检查与磁共振对比分析[J]. 中国现代医学杂志，2010，20（23）：3667-3670.
[20]Li SX, Zhang Y, Sun M, et al. Ultrasonic diagnosis of biliary atresia: a retrospective analysis of 20 patients[J]. World J Gastroenterol, 2008, 14(22): 3579-3582.
[21]肖珍，马小燕，欧阳春燕，等. 超声检查对婴儿胆道闭锁的研究[J]. 中华医学超声杂志，2013，10（7）：531-533.
[22]李士星，张尧，时博，等. 胆道闭锁的超声诊断[J]. 中国临床医学影像杂志，2008，19（3）：161-164.