声触诊组织定量技术对高尿酸血症患者胰腺早期损害的诊断价值  

The value of virtual touch tissue quantification in the diagnosis of pancreas early damage of patients with hyperuricemia

作　　者：李云萍[1] 丁兆艳[1] 王正滨[1] 田飞[2] 刘荣桂[1] 张桂俊[1] 赵诚[1] 闫志梅[1] 

机构地区：[1]青岛大学附属医院超声科,266555 [2]滨州医学院附属医院超声科

出　　处：《中华超声影像学杂志》2015年第4期316-319,共4页Chinese Journal of Ultrasonography

基　　金：青岛（国家级）经济技术开发区项目资助（2012-2-64）

摘　　要：目的探讨声触诊组织定量（VTQ）技术对高尿酸血症患者胰腺早期损害的诊断价值。方法正常对照组150例，高尿酸并糖耐量正常组（HuA组）65例，高尿酸血症并糖耐量异常组（IGT组）42例，应用常规二维超声检测受试者胰腺后，应用VTQ技术检测胰腺组织横向剪切波速度（Vs），对比分析各组间结果。结果HUA组与对照组相比及IGT组与HUA组相比．胰腺声像图有异常改变的比率均有升高趋势但差异无统计学意义；1GT组与对照组相比，胰腺声像图有异常改变的比率明显升高。三组胰腺Vs值分别为（1．21±0．15）m／s、（1．41±0．13）m／s、（1．59±0．15）m／S，HUA组、IGT组胰腺Vs值均大于对照组（P〈0．05），且IGT组Vs值大于HUA组（P〈0．05）。结论HUA可引起胰腺损害且随着病情进展损害程度加重；VTQ技术对HUA患者胰腺早期损害的诊断具有重要临床意义。Objective To explore the value of virtual touch tissue quantification （VTQ） in the diagnosis of pancreas early damage of patients with hyperuricemia（HUA）. Methods Sixty-five cases of patients with normal glucose tolerance and HUA （HUA group） and 42 cases of patients with HUA and impaired glucose tolerance （IGT group） were included in the study, and other 150 health suhiects were taken as control group. After routine ultrasound examination, the pancreas shear wave velocity values （Vs） of different groups were measured by VTQ technology,and the results were analyzed. Results Compared with the control group, the rate of the abnormal ultrasonogram of pancreas in IGT group showed obvious increasing trend but there was no significantly difference between the other groups（both P 〉0.05）. The Vs of the normal control group,HUA group, and IGT group were （1.21 ± 0.15）m/s,（1.41 ± 0.13）m/s and （1.59 ±0.15）m/s, respectively. The Vs of HUA group and IGT group were higher than that of the control group （both P〈0.05）, and the Vs of IGT group was significantly higher than that of HUA group （ P〈 0.05）. Conclusions Hyperuricemia may cause pancreas damage,and with the disease progress,the pancreas damage became more serious,and VTQ technology may play an important role on the diagnosis of pancreas early damage in HUA patients.

关 键 词：超声检查 高尿酸血症 糖尿病 胰腺损害 声触诊组织定量技术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R589.7[医药卫生—诊断学]