Gates G F, Sinatra F R, Thomas D W
AJR Am J Roentgenol. 1980 Jun;134(6):1141-8. doi: 10.2214/ajr.134.6.1141.
Of 33 children with various cholestatic syndromes who were studies with sonography, 19 also had 131I rose bengal scintigraphy, and 12 also had 99mTc sulfur colloid scintigraphy. Patients were categorized into intra- or extrahepatic etiologies for their cholestasis. Of 19 children in the extrahepatic category, 17 had abnormal sonographic studies; two with biliary atresia appeared normal. All 14 patients in the intrahepatic category had normal sonographic studies. Rose bengal was most useful when demonstrating biliary patency. Some cases of biliary atresia with normal sonography and lack of rose bengal excretion into the intestinal tract could not be separated from cases of neonatal hepatitis using a similar combination of studies. Radiocolloid studies were less valuable than other examinations except when demonstrating diffuse hepatic reticuloendothelial dysfunction as found in two cases of congenital syphilitic hepatitis.
在接受超声检查的33例患有各种胆汁淤积综合征的儿童中，19例还进行了131I 玫瑰红闪烁扫描，12例还进行了99mTc 硫胶体闪烁扫描。根据胆汁淤积的病因，将患者分为肝内或肝外病因组。在19例肝外病因组儿童中，17例超声检查异常；2例胆道闭锁患儿超声检查表现正常。肝内病因组的14例患者超声检查均正常。玫瑰红在显示胆管通畅方面最有用。一些超声检查正常且玫瑰红不排入肠道的胆道闭锁病例，与新生儿肝炎病例无法通过类似的检查组合区分开来。放射性胶体检查的价值低于其他检查，除非显示出弥漫性肝网状内皮系统功能障碍，如在2例先天性梅毒肝炎病例中发现的那样。
