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題 名 | Magnetic Resonance Cholangiography for Evaluation of Cholestatic Jaundice in Neonates and Infants=以磁振膽道造影評估新生兒及嬰兒膽汁鬱積 |
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作 者 | 彭信逢; 李瑤華; 張美惠; 倪衍玄; 蘇誠道; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 97:10 1998.10[民87.10] |
頁 次 | 頁698-703 |
分類號 | 417.517 |
關鍵詞 | 磁振膽道造影; 新生兒; 嬰兒; 膽汁鬱積; Biliary atresia; Neonatal jaundice; Magnetic resonance cholangiography; |
語 文 | 英文(English) |
英文摘要 | Distinguishing extrahepatic biliary atresia from other causes of cholestasis in neonates and infants is important because surgical intervention before 2 months of age allows for long-term survival. The purpose of this prospective study was to evaluate the usefulness of magnetic resonance (MR) cholangiography in differentiating biliary atresia from other causes of cholestatic jaundice in neonates and infants. Nine anicteric infants (control group) aged 10 to 224 days (mean±SD, 8±65 days) and 15 neonates and infants with cholestatic jaundice, aged 22 to 142 days (mean±SD, 71±37) underwent MR cholangiography. The final diagnosis of extrabiliary atresia (6 patients) was based on laparotomy findings (4 patients) or autopsy (2 patients), while neonatal hepatitis (9 patients) was diagnosed according to the liver biopsy findings and clinical recovery during follow-up. Percutaneous liver biopsies were performed in all 15 patients. Results showed that the gall bladder and common bile duct (CBD) could be visualized using MR cholangiography in all patients in the control group. Nonvisualization of the CBD (6/6 patients) and demonstration of a small gall bladder (6/6 patients) characterized MR cholangiography findings in patients with bliary atresia. MR cholangiography failed to depict the CBD in one infant with hepatitis. We conclude that demonstration of the CBD by MR cholangiography in neonates and infants with cholestasis can be used to exclude the diagnosis of biliary atresia. In patients which cholestatic jaundice considered for exploratory laparotomy, preoperative MR cholangiography is recommended to avoid unnecessary surgery. |
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