声脉冲辐射力成像技术对慢性肾病分期的诊断价值

发布时间：2018-06-01 08:32

本文选题：慢性肾病 + 声脉冲辐射力成像技术　；参考：《东南大学学报(医学版)》2017年05期

【摘要】：目的:应用声脉冲辐射力成像技术(ARFI)测量慢性肾病组和健康对照组的双肾肾皮质的剪切波速度(SWV),探讨ARFI技术对慢性肾病定量分期的诊断价值。方法:将健康体检者作为对照组,慢性肾病患者依据K/DOQI分级标准分为1~5期组,对80例慢性肾病患者及20例健康体检者肾脏分别进行ARFI测量获得SWV值并进行统计学分析比较。结果:对照组和不同慢性肾病分期组受检者的SWV值差异有统计学意义(F=137.152,P0.001)。不同分期组慢性肾病患者的SWV值均低于健康对照组,差异有统计学意义(P0.001)。方差分析比较不同慢性肾病分期组患者的SWV值,F=82.038,P0.001,表示不同分期组SWV整体间有差异。进一步多重比较,结果显示任意两个分期组间SWV值比较,差异均有统计学意义(P0.001)。结论:ARFI技术可以定性定量诊断慢性肾病;SWV值在慢性肾病的分期诊断方面敏感性高,可以作为慢性肾病分期的诊断依据。
[Abstract]:Objective: to evaluate the diagnostic value of ARFI in quantitative staging of chronic nephropathy by measuring shear wave velocities in both renal cortex of chronic nephropathy group and healthy control group by means of acoustic pulse radiation force imaging (ARFI). Methods: the healthy persons were taken as the control group, and the patients with chronic nephropathy were divided into 1 stage 5 group according to the K/DOQI classification standard. The SWV values of 80 patients with chronic nephropathy and 20 healthy persons were measured by ARFI and compared statistically. Results: there was significant difference in SWV between the control group and the patients with different stages of chronic nephropathy (P 0.001). The SWV values of patients with chronic nephropathy in different stages were significantly lower than those of healthy controls (P 0.001). The SWV value of patients with different stages of chronic nephropathy was compared by ANOVA (P 0.001), indicating that there were differences in SWV between different staging groups. Further multiple comparisons showed that the difference of SWV between any two staging groups was statistically significant (P 0.001). Conclusion the value of SWV in the qualitative and quantitative diagnosis of chronic nephropathy is highly sensitive to the staging of chronic nephropathy, and can be used as a basis for the diagnosis of chronic nephropathy staging.
【作者单位】：河南科技大学临床医学院河南科技大学第一附属医院超声科;
【分类号】：R692

【相似文献】