Koukoura Ourania, Kelesidou Veroniki, Delianidou Marina, Athanasiadis Apostolos, Dagklis Themistoklis
Department of Obstetrics and Gynecology, University Hospital of Larissa, Larissa, Thessaly, Greece.
Third Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
J Clin Ultrasound. 2019 Jun;47(5):292-297. doi: 10.1002/jcu.22705. Epub 2019 Feb 6.
Congenital anomalies of the biliary tract include a variety of pathologic conditions, such as biliary atresia, choledochal cysts, gallbladder agenesis, congenital cholelithiasis, and gallbladder duplication. Although most of these malformations are rare and benign conditions, they may occasionally represent a major threat to extrauterine life. Visualization of a normal-sized gallbladder should be a mandatory component of the second-trimester anomaly ultrasound scan. Advances in prenatal sonography enable the detection of biliary tract congenital malformations. In this review, we discuss the detection rates, sonographic features, and prognosis of the most frequently prenatally diagnosed biliary tract malformations.
胆道先天性异常包括多种病理状况,如胆道闭锁、胆总管囊肿、胆囊缺如、先天性胆石症和胆囊重复畸形。尽管这些畸形大多罕见且为良性疾病,但它们偶尔可能对宫外生命构成重大威胁。在孕中期异常超声扫描中,显示正常大小的胆囊应是一项必需的检查内容。产前超声检查技术的进步使得能够检测出胆道先天性畸形。在本综述中,我们讨论了最常见的产前诊断胆道畸形的检出率、超声特征及预后。