超声测量双肾下极脂肪囊面积对代谢综合征患者的临床意义  

Ultrasound Measuring Inferior Pole Area of Perirenal Fat Related to Anthropometry and to Cardiovascular Risk Factors of Metabolic Syndrome

作　　者：龚维坤 陈淑婷 童宏章 任惠龙 陈宏卫 赖静波 陈新怡 郭小芳 

机构地区：[1]宁波市鄞州人民医院内分泌科,浙江省宁波市315040 [2]宁波市鄞州人民医院超声科,浙江省宁波市315040 [3]宁波市鄞州人民医院影像科,浙江省宁波市315040

出　　处：《中国超声医学杂志》2008年第11期1020-1023,共4页Chinese Journal of Ultrasound in Medicine

基　　金：浙江省医药卫生科研基金No.2004B179;宁波市医学科技计划项目:No.2004074;鄞州区农业与社会发展项目:No.20060208

摘　　要：目的探讨超声测量的双肾下极脂肪囊面积(ultrasound measured inferior pole area of perirenal fat,US-IPAPF)与代谢综合征患者核磁共振测量的腹腔内脏脂肪面积(magnetic resonance imaging measured area of visceral adipose tissue,MRI-VAT)、各身体参数及心血管危险因子的关系,评价测量US-IPAPF的临床意义。方法募入72例代谢综合征患者,测量其身体参数及各项生化指标,超声测量患者腹腔VAT厚度、US-IPAPF,核磁共振测量MRI-VAT。结果测量US-IPAPF可重复性好,不受年龄、性别、身高、肾脏大小的影响,与各种影像、身体测量方法及多数心血管危险因子相关,US-IPAPF与MRI-VAT的相关独立于BMI,MRI-VAT对US-IPAPF的影响大于其它方法。结论US-IPAPF与代谢综合征患者MRI-VAT及心血管危险因子相关,其临床意义显著。Objective To study the relationship between ultrasound measured area of the inferior pole of the perirenal fat （US-IPAPF） and anthropometric,imaging and cardiovascular risk factors of metabolic syndrome.Methods Seventy two subjects with metabolic syndrome were recruited including 44 men and 28 women （age：26-68 years）.Each subject underwent ultrasound detection of US-IPAPF,intraabdominal fat thickness and magnetic resonance imaging to calculate abdominal visceral adipose tissue （MRI-VAT）.Anthropometry and cardiovascular risk factors were also evaluated.Results US-IPAPF measurement demonstrated excellent reproducibility,and was related to MRI-VAT,ultrasound measured intraabdominal fat,waist circumference,the ratio of waist and hip circumferences （of men）,body mass index and the main cardiovascular risk factors of metabolic syndrome.Conclusions Detecting US-IPAPF demonstrated powerful clinical importance for its relationship to MRI-VAT and the main cardiovascular risk factors of metabolic syndrome.

关 键 词：超声 肾脂肪囊 内脏脂肪 代谢综合征 心血管危险因子 

分 类 号：R589[医药卫生—内分泌] R714.5[医药卫生—内科学]