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回顾性评价了经手术或尸检诊断的11例胆道闭锁和随访了26例黄疸消失的婴儿肝炎综合征患儿十二指肠液的颜色、放射性核素肝胆显像、B超肝胆检查结果.以十二指肠液透明无色诊断胆道闭锁,十二指肠液黄色诊断婴儿肝炎综合征,正确率为94.6%.以肠道有无放射性示踪剂来鉴别胆道闭锁与婴儿肝炎综合征,正确率为81.1%.B型超声波肝胆检查有无胆囊鉴别胆道闭锁与婴儿肝炎综合征,正确率为78.0%.结果表明,观察十二指肠液颜色是简单、快速、可靠的鉴别方法.
We retrospectively evaluated the color, radionuclide, hepatobiliary imaging and B-ultrasonography findings of 11 cases of biliary atresia diagnosed by surgery or autopsy and follow-up of 26 cases of infant hepatitis syndrome with disappearance of jaundice. Transparent and colorless duodenal diagnosis of biliary atresia, duodenal fluid yellow diagnosis of infant hepatitis syndrome, the correct rate was 94.6%. The presence or absence of radioactive tracers to identify biliary atresia and infant hepatitis syndrome, the correct rate was 81.1%. B-type ultrasound examination of liver and gallbladder with or without gallbladder biliary atresia and infant hepatitis syndrome, the correct rate was 78.0%. The results show that the observation of duodenal fluid color is a simple, rapid and reliable method of identification.