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Volume 41 Issue 2
May  2018
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Article Navigation >  Journal of Molecular Imaging  > 2018  >  41(2): 147-151
Yule ZHANG, Na WANG, Buyun GUAN, Jinwei CHEN. Ultrasonic differential diagnosis of infant congenital cystic mass in the hepatic hilar[J]. Journal of Molecular Imaging, 2018, 41(2): 147-151. doi: 10.3969/j.issn.1674-4500.2018.02.03
Citation: Yule ZHANG, Na WANG, Buyun GUAN, Jinwei CHEN. Ultrasonic differential diagnosis of infant congenital cystic mass in the hepatic hilar[J]. Journal of Molecular Imaging, 2018, 41(2): 147-151. doi: 10.3969/j.issn.1674-4500.2018.02.03
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Ultrasonic differential diagnosis of infant congenital cystic mass in the hepatic hilar

doi: 10.3969/j.issn.1674-4500.2018.02.03

  • Department of Ultrasound,Guangzhou Women and Children’s Medical Center, Guangzhou 510120, China

  • Received Date: 2018-01-12
  • Publish Date: 2018-04-01
    Abstract
  • Objective To investigate the value of ultrasound in the diagnosis of infant congenital cystic biliary atresia and choledochal cyst. Methods 31 children with cystic mass in the hepatic hilar admitted to our hospital from June 2016 to June 2017 were randomly selected, all of which received ultrasound examination and operation. Subjects were divided into cystic biliary atresia group (n=15) and choledochal cyst group (n=16) according to the surgical results. Factors including intrahepatic bile duct dilatation, fibrotic tissue around porta hepatis, the incidence of biliary sludge in the gallbladder, deformed gallbladder, contractile dysfunction of gallbladder, the inside diameter of hepatic artery, gallbladder size and cyst volume were statistically analyzed. Results The incidences of intrahepatic bile duct dilatation and gallbladder biliary sludge in the cystic biliary atresia group (0%; 6.7%, 1/15) were significantly lower than those in the choledochal cyst group (75.0%, 12/16; 50.0%, 8/16)(P<0.05); the incidences of fibrotic tissue around porta hepatis, deformed gallbladder and contractile dysfunction of gallbladder in the cystic biliary atresia group (80.0%,12/15; 86.7%, 13/15; 73.3%, 11/15）were significantly higher than that of the control group (0%; 6.3%,1/16; 12.5%, 2/16） (P<0.05). In the choledochal cyst group, the inside diameter of the hepatic artery was significantly longer than that of the common bile duct cyst (P<0.05), but there was no significant difference in the length of the gallbladder(P>0.05). Conclusion The application of ultrasound in the identification of congenital cystic biliary atresia and choledochal cyst has high value.

     

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