| 摘要: |
| 摘 要 目的 探讨二维剪切波弹性成像技术在维持性血液透析患者肱二头肌受损情况中的价值。方法 测量长透组、短透组及对照组各30名患者的肱二头肌肌肉厚度和浅侧脂肪厚度、及其剪切波速度，比较三组间各指标的变化情况。结果 （1）肱二头肌中段肌肉厚度测量中长透组（右1.98±0.35cm，左1.99±0.32cm）厚于对照组（右1.92±0.21cm，左1.94±0.19cm）和短透组（右1.81±0.30cm，左1.82±0.30cm），其中长透组和短透组间差异有统计学意义（p＜0.05）。（2）肱二头肌中段浅侧脂肪厚度测量中对照组（右0.40（0.34，0.51）cm，左0.40（0.35，0.51）cm）厚于长透组（右0.35（0.30，0.48）cm，左0.37（0.30，0.51）cm）和短透组（右0.30（0.26，0.42）cm，左0.32（0.27，0.46）cm），其中短透组和对照组间差异有统计学意义（p＜0.05）。（3）肱二头肌及浅侧脂肪剪切波速度测量中对照组速度最高（右3.72±0.25m/s、3.27（3.15，3.38）m/s，左3.76±0.19m/s、3.22（3.14，3.36）m/s），其次是短透组（右3.47±0.26m/s、3.09（2.97，3.27）m/s，左3.48±0.24m/s、3.08（3.00，3.20）m/s），再次是长透组（右3.17±0.33m/s，2.85（2.69，3.07）m/s、左3.17±0.27m/s、2.88（2.73，3.07）m/s），各组间差异有统计学意义（p＜0.05）。结论 超声作为一种无创便捷评估维持性血液透析患者肱二头肌及其浅侧脂肪厚度及弹性模量变化的影像检查方法，可用于肌肉功能受损程度的量化评估。 |
| 关键词: 二维剪切波弹性成像 维持性血液透析 肌肉受损 |
| DOI： |
| 投稿时间：2023-06-28修订日期：2023-08-06 |
| 基金项目: |
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| Quantitative evaluation of biceps brachii wasting in hemodialysis patients by two-dimensional shear wave elastography |
| Yu Hang,Zhao Hanxue,XiongYing,LiangGuoyu,Wang Lili |
| (Department of Ultrasound,Beijing Civil Aviation General Hospital) |
| Abstract: |
| ABSTRACT: Objective To explore the value of two-dimensional shear wave elastography in evaluating the wasting of biceps brachii in maintenance hemodialysis patients. Methods The thickness of biceps brachii and superficial adipose tissue and its Young's modulus were measured and compared in long-term dialysis group, short-term dialysis group and healthy control group. Results (1) The thickness of biceps brachii in the long-term group (1.98±0.35cm right, 1.99±0.32cm left) was thicker than that of the control group (1.92±0.21cm right, 1.94±0.19cm left) and the short-term group (1.81±0.30cm right, 1.82±0.30cm left). There was significant difference between the long-term group and the short-term group (p <0.05). (2)The thickness of superficial adipose tissue anterior to the biceps brachii in the control group (right 0.40 (0.34, 0.51) cm, left 0.40 (0.35, 0.51) cm) was thicker than that of the long-term group (right 0.35 (0.30, 0.48) cm, left 0.37 (0.30, 0.51) cm) and short-term group (right 0.30 (0.26, 0.42) cm, left 0.32 (0.27, 0.46) cm), the difference between short-term group and control group was statistically significant (p<0.05). (3) The highest measuring velocity of shear wave in biceps muscle and its superficial adipose tissue was obtained in the control group (right 3.72±0.25m/s, 3.27 (3.15, 3.38) m/s, left 3.76±0.19m/s, 3.22 (3.14, 3.36) m/s), followed by short-term group (right 3.47±0.26m/s, 3.09 (2.97, 3.27) m/s, left 3.48±0.24m/s, 3.08 (3.00, 3.20) m/s), and long-term group (right 3.17±0.33m/s, 2.85 (2.69, 3.07) m/s, left 3.17±0.27m/s, 2.88 (2.73, 3.07) m/s), and there were statistical significance among them (p<0.05). Conclusion As a non-invasive and convenient imaging method to evaluate the thickness and elastic modulus of biceps brachii and its superficial fat in maintenance hemodialysis patients, ultrasound can be used to quantitatively assess the degree of muscle function impairment. |
| Key words: Two-dimensional shear wave elastography, maintenance hemodialysis muscle wasting |
