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时间:2020-05-09
《超声剪切波技术在慢性肾脏疾病的诊断及分期上的应用价值探讨.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、国际医药卫生导报2015年第21卷第l3期IMHGN,July2015,Vo1.21No.13·超声与影像超声剪切波技术在慢性肾脏疾病的诊断及分期上的应用价值探讨罗海波李霞李丽娟张利荣邝永培【摘要】目的探讨超声剪切波技术在慢性肾脏疾病的诊断以及分期上的应用价值。方法选择2013年1月至2014年6月来我院接受治疗的60例慢性肾脏疾病患者作为CKD组,按病情程度分为5组(CKD1期、CKD2期、CKD3期、CKD4期、CKD5期),同期来院体检肾功能正常的30例健康人员作为正常组。采用超声剪切波对所有研究对象的左肾的VTQ值进行检查,比较分析研究对象的超声检查资料。结果60例CKD患
2、者的血清肌酐、血尿素氮的增高率随着病程的增加逐渐增高,CKD患者的血流量、皮质回声随着病程的增加正常率依次降低,肾脏减小率逐渐增加;与正常组的VTQ值相比较,CKD1—5期各期的VTQ值均小于正常组,且各期VTQ值依次降低,两组比较差异均有统计学意义(P<0.05)。结论慢性肾脏疾病患者的超声VTQ值均小于正常标准,超声剪切波技术在慢性肾脏疾病的诊断和分期上有很好的应用价值。【关键词】超声剪切波技术;慢性。肾脏疾病;诊断ShearwavetechnologyofultrasoundindiagnosisandstagingofchronickidneydiseaseLihaibo,
3、Lixia,LiLUuan,ZhangLirong,KuangYongpei.DepartmentofUltrasound,DongguanPeople'sHospitalDongguan52300EChina【Abstract】objectiveToinvestigatethevalueofshearwavetechnologyofultrasoundinthediagnosisandstagingofchronickidneydisease.Methods60patientswithchronickidneydiseasetreatedatourhospitalfromJanu
4、ary,2013toJune,2014wereselectedasaCKDgroup.TheCKDpatientsweredividedintofivegroupsaccordingtotheseverity(CKD1period,CKD2period,CKD3period,CKD4period,andCKD5period).30healthypersonswithnormalrenalfunctiontakingphysicalexaminationatourhospitalduringthesameperiodwereselectedasanormalgroup.Ultraso
5、nicshearwaveVTQvalueoftheleftkidneyofallsubjectswaschecked.Theultrasounddatawerecomparedbetweeneachtwogroups.ResultsTheserumlevelofcreatinineandbloodureanitrogenincreasedwiththediseasecourseinthe60patientswithCKD.ThenormalratesofbloodflowandeorticalechointhepatientswithCKDdecreasedwimtheincrea
6、seofthediseasecourse.TheVTQvaluewaslowerintheCKDgroupthaninthenormalgroup;theVTQvaluesofCKD1-5weredecreasing;withstatisticaldiferencesbetweeneachtwogroups(P<0.05).ConelusionsUitrasoundVTQvalueinpatientswithchronickidneydiseaseiSlowerthannormalstandard.Ultrasonicshearwavetechnologyhasgoodapplic
7、ationvalueinthediagnosisandstagingofchronickidneydisease.【Keywords】Ultrasonicshearwavetechnology;Chronickidneydisease;DiagnosisDOI:10.3760/cma.J.issn.1007-1245.2015.13.036作者单位:523000东莞市人民医院超声科l891国际医药卫生导报2015年第2l卷第13期1MHGN,July2015,Vo1.
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