声触诊组织定量成像技术鉴别胰腺局灶性病变应用价值  

The value of acoustic palpation tissue quantitative in differentiating focal pancreatic lesions

作　　者：王一[1] 冯钰瑾[1] 杨晓云[1] 王文刚[1] 许文胜[1] 张彤迪[1] WANG Yi;FENG Yu-jin;YANG Xiao-yun;WANG Wen-gang;XU Wen-sheng;ZHANG Tong-di(Department of Abdominal Ultrasound,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院腹部超声科

出　　处：《河北医科大学学报》2019年第9期1047-1049,1054,共4页Journal of Hebei Medical University

基　　金：河北省医学科学研究重点课题(20170622)

摘　　要：目的探讨声触诊组织定量成像技术(virtual touch tissue quantification,VTQ)鉴别胰腺局灶性病变的应用价值。方法选择胰腺局灶性病变患者80例,根据患者胰腺局灶性病变的良恶性分为良性病变(良性)组38例和恶性病变(恶性)组42例。所有患者入院后均进行VTQ诊断,比较2组病灶剪切波速度(shear wave velocity,SWV)、病灶周围胰腺实质SWV及SWV差值。结果恶性组年龄及病灶直径显著大于良性组,病灶SWV值、病灶周围胰腺实质SWV值及SWV差值均显著大于良性组(P<0.05);胰腺癌患者病灶SWV值、病灶周围胰腺实质SWV值及SWV差值均显著大于胰腺炎性病变患者(P<0.05)。结论VTQ检查可为临床医师鉴别胰腺病灶良恶性病变提供数据支持,对患者后续治疗方案的制定及改善均具有积极意义,值得临床推广应用。Objective To investigate the value of acoustic palpation tissue quantitative(VTQ)in differentiating focal pancreatic lesions.Methods Eighty patients with pancreatic focal lesions treated in our hospital were selected as the research objects.The benign and malignant lesions of pancreatic focal lesions were analyzed.Thirty-eight patients with benign lesions were included in the benign group,and the remaining 42 patients with malignant lesions were included in the malignant group.All patients underwent VTQ diagnosis after admission,and the repeatability of shear wave velocity(SWV)measurements was analyzed to differentiate the diagnostic value of SWV,SWV in adjacent pancreatic parenchyma and SWV difference in focal pancreatic lesions.Results The age and diameter of malignant group were significantly higher than those of control group(P<0.05).The SWV value and SWV difference between malignant group and peripheral pancreatic parenchyma were significantly higher than those of benign group(P<0.05).The SWV value and SWV difference between pancreatic cancer and peripheral pancreatic parenchyma were significantly higher than those of pancreatic parenchyma(P<0.05).The SWV value and SWV difference between pancreatic cancer lesions and surrounding pancreatic parenchyma were significantly higher than those of pancreatic inflammatory lesions(P<0.05).Conclusion SWV has good reproducibility and accuracy in the differential diagnosis of pancreatic focal lesions.The application of VTQ can provide data support for clinicians to differentiate benign and malignant pancreatic lesions,and has positive significance for the formulation and improvement of follow-up treatment plan of patients.It can be considered for clinical application.

关 键 词：胰腺疾病 声触诊组织定量成像技术 诊断 鉴别 

分 类 号：R576[医药卫生—消化系统]