实时剪切波弹性成像定量评价健康儿童腮腺组织弹性
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摘要
目的采用实时剪切波弹性成像(SWE)初步建立健康儿童腮腺弹性模量最大值(Emax)及平均值(Emean)参考范围。方法选取246例健康儿童行SWE检查并记录相关Emax、Emean进行定量分析;同时分析健康儿童性别、年龄、腺体层厚度与腮腺Emax、Emean的相关性。结果 246例健康儿童腮腺Emax为(10.14±2.84)kPa,Emean为(8.86±2.75)kPa,男童及与女童、左右侧腮腺Emax、Emean差异无统计学意义(P>0.05);年龄、腺体层厚与Emax、Emean存在一定相关性。结论 SWE可替代临床医师对腮腺的触诊较为准确的评估腮腺硬度,并依据所收集的数据计算健康儿童腮腺组织Emax、Emean参考范围,为超声医师早期、准确发现腮腺硬度改变提供参考。
Objective Real-time shear wave elastography(SWE)was used to establish the maximum elastic modulus(Emax)and mean(Emean)reference range of healthy children.Methods 246 healthy children were selected for SWE examination and related Emax and Emean were recorded for quantitative analysis.The correlations between gender,age,glandular layer thickness and parotid Emax and Emean were analyzed.Results Emax of 246 healthy children was(10.14±2.84)kPa,Emean was(8.86±2.75)kPa,there was no significant difference between Emax,Emean of boys and girls,left and right parotid(P>0.05);there is a certain correlation between Emax and Emean of age and gland layer thickness.Conclusions SWE can replace the clinician′s palpation of the parotid gland to accurately evaluate the parotid gland hardness,and calculate the Emax and Emean reference range of healthy children′s parotid gland based on the collected data,which provides a reference for the early and accurate detection of parotid stiffness changes.
Objective Real-time shear wave elastography(SWE)was used to establish the maximum elastic modulus(Emax)and mean(Emean)reference range of healthy children.Methods 246 healthy children were selected for SWE examination and related Emax and Emean were recorded for quantitative analysis.The correlations between gender,age,glandular layer thickness and parotid Emax and Emean were analyzed.Results Emax of 246 healthy children was(10.14±2.84)kPa,Emean was(8.86±2.75)kPa,there was no significant difference between Emax,Emean of boys and girls,left and right parotid(P>0.05);there is a certain correlation between Emax and Emean of age and gland layer thickness.Conclusions SWE can replace the clinician′s palpation of the parotid gland to accurately evaluate the parotid gland hardness,and calculate the Emax and Emean reference range of healthy children′s parotid gland based on the collected data,which provides a reference for the early and accurate detection of parotid stiffness changes.
引文
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[9]翟齐西,王学梅,黄崑,等.实时剪切波弹性成像技术在涎腺内实性良性包块鉴别诊断中的价值[J].中华超声影像学杂志,2015,24(001):32-34.
[2]黄崑,翟齐西,刘艳君,等.实时剪切波弹性成像技术在腮腺内实性良性包块诊断中的价值[J].中国超声医学杂志,2014,30(12):1064-1066.
[3]金亚,彭玉兰,赵海娜,等.正常成人腮腺和颌下腺实时剪切波弹性成像的初步研究[J].华西医学,2015,30(4):692-695.
[4]王健楠,王学梅,欧国成.超声弹性成像在干燥综合征诊断中的应用价值[J].中国超声医学杂志,2013,29(1):10-13.
[5]MANSOUR N,HOFAUER B,KNOPF A.Ultrasound elastography in diffuse and focal parotid gland lesions[J].ORL JOtorhinolaryngol Relat Spec,2017,79(1-2):54-64.
[6]周雯,周佩.超声弹性成像在涎腺疾病的应用[J].华南国防医学杂志,2017,31(2):145-146.
[7]WIERZBICKA M,KAUZNY J,RUCHAA M,et al.Sonoelastography-A Useful Adjunct for Parotid Gland Ultrasound Assessment in Patients Suffering from Chronic Inflammation[J].Medical science monitor:international medical journal of experimental and clinical research,2014,20(11):2311-2317.
[8]MANTSOPOULOS K,KLINTWORTH N,IRO H,et al.Applicability of shear wave elastography of the major salivary glands:values in healthy patients and effects of gender,smoking and pre-compression[J].Ultrasound in Medicine and Biology,2015,41(9):2310-2318.
[9]翟齐西,王学梅,黄崑,等.实时剪切波弹性成像技术在涎腺内实性良性包块鉴别诊断中的价值[J].中华超声影像学杂志,2015,24(001):32-34.