HE Huan, ZHANG Zhan, LI Min, et al. Diagnostic value of shear wave elastography in early postoperative cholangitis in children with biliary atresia[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(2):126-129.
HE Huan, ZHANG Zhan, LI Min, et al. Diagnostic value of shear wave elastography in early postoperative cholangitis in children with biliary atresia[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(2):126-129. DOI: 10.16245/j.cnki.issn1008-6978.2021.02.017.
Objective To investigate the diagnostic value of shear wave elastography(SWE) in early postoperative cholangitis in children with biliary atresia.Methods Fifty-nine children who were diagnosed with biliary atresia in our hospital and confirmed by operation were analyzed.In addition
1 month after operation infants were divided into cholangitis group(n=23)and non-cholangitis group(n=36) according to whether cholangitis occurred
the preoperative and one-month postoperative changes of liver mean Young’s modulus(Emean) in the two groups of SWE were measured and compared.Results There was a statistically significant difference of preoperative and postoperative liver Emean values between the non-cholangitis group and the cholangitis group respectively(both P<0.05).When the comparison of preoperative liver Emean was not statistically significantin between the cholangitis group and non-cholangitis group.The liver Emean of cholangitis group was significantly higher than that of the non-cholangitis group after operation in 1 month [(18.42±7.74) kPa vs.(12.68±4.99) kPa]
there was significant difference(t=-3.477
P=0.001).The preoperative liver Emean values of all infants showed a linear relationship with the age(r=0.258
P=0.000).However
there was no significant linear correlation between the age and the liver Emean after operation in 1 month.Conclusion SWE technique has certain value in the detection of liver stiffness in infants with biliary atresia in early cholangitis.