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中华医学超声杂志(电子版) ›› 2023, Vol. 20 ›› Issue (05) : 524 -529. doi: 10.3877/cma.j.issn.1672-6448.2023.05.010

腹部超声影像学

健康成人胰腺剪切波弹性成像的可行性和测量值及其影响因素
黄珈瑶, 林满霞, 田文硕, 何璟怡, 赖佳明, 谢晓燕, 龙海怡()   
  1. 510080 广州,中山大学附属第一医院超声医学科
    510080 广州,中山大学附属第一医院胆胰外科
  • 收稿日期:2022-05-05 出版日期:2023-05-01
  • 通信作者: 龙海怡

Influencing factors of feasibility and measurement values of pancreatic elastography in healthy adults

Jiayao Huang, Manxia Lin, Wenshuo Tian, Jingyi He, Jiaming Lai, Xiaoyan Xie, Haiyi Long()   

  1. Department of Ultrasound, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
    Department of Hepatopancreatobiliary Surgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
  • Received:2022-05-05 Published:2023-05-01
  • Corresponding author: Haiyi Long
引用本文:

黄珈瑶, 林满霞, 田文硕, 何璟怡, 赖佳明, 谢晓燕, 龙海怡. 健康成人胰腺剪切波弹性成像的可行性和测量值及其影响因素[J/OL]. 中华医学超声杂志(电子版), 2023, 20(05): 524-529.

Jiayao Huang, Manxia Lin, Wenshuo Tian, Jingyi He, Jiaming Lai, Xiaoyan Xie, Haiyi Long. Influencing factors of feasibility and measurement values of pancreatic elastography in healthy adults[J/OL]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(05): 524-529.

目的

探索健康成人胰腺不同部位剪切波弹性成像(SWE)的可行性和弹性测量值,并分析弹性成像成功率和测量值的影响因素。

方法

2021年7月中山大学附属第一医院通过网络招募47名健康成年人进行胰腺SWE检查,收集其性别、年龄、体质量指数、测量部位(胰头、胰体、胰尾)、取样框深度、弹性测量值等资料,采用Logistic回归方法分析胰腺弹性成像成功与否的影响因素,应用方差分析和线性回归探索胰腺弹性测量值的影响因素。

结果

胰腺弹性测量的成功率与测量部位有关(OR=0.50,P=0.011),胰体成功率最高(93.6%),胰头次之(74.5%),胰尾最低(48.9%)。胰腺不同部位(胰头、胰体、胰尾部)的弹性测量值比较[(10.00±2.06)kPa vs(8.77±2.02)kPa vs(9.90±2.32)kPa],差异无统计学意义(F=2.33,P=0.105)。取样框深度是胰体部弹性测量值的独立影响因素(回归系数r=2.16,P<0.001),取样框深度越深,弹性测量值越高。

结论

健康成人胰腺SWE的成功率受测量部位影响,胰体部弹性测量值与取样框深度有关。

Objective

To explore the feasibility and stiffness measurement values of shear wave elastography (SWE) at different sites of the pancreas in healthy adults, and to analyze the factors influencing them.

Methods

In July 2021, a total of 47 healthy adults recruited through the Internet underwent pancreatic SWE, and the characteristics including sex, age, body mass index (BMI), and the sites and depth of examination were collected. The factors influencing the success rate were analyzed by logistic regression, and the factors influencing measurement values of pancreatic elastography were explored by analysis of variance and linear regression.

Results

The success rate of pancreatic elastography was related to the measurement site [P=0.011, odds ratio (OR)=0.50], with the highest success rate achieved in the body of the pancreas (93.6%), followed by the head of the pancreas (74.5%), and the lowest in the tail of the pancreas (48.9%). The elasticity measurements had no significant differences in different parts of the pancreas [(10.00±2.06) kPa vs (8.77±2.02) kPa vs (9.90±2.32) kPa, F=2.33, P=0.105). The depth of the sampling box had an independent influence on the elasticity measurements of the pancreatic body [regression coefficient (r)=2.16, P<0.001], and the deeper the depth of the sampling box, the higher the elasticity measurements.

Conclusion

The feasibility of pancreatic SWE examination in healthy adults is influenced by the sites of examination, and the elasticity measurement values in the pancreatic body are related to the depth of the sampling box.

图1 胰腺剪切波弹性成像图示。图a为胰腺二维超声图像;图b为胰体部剪切波弹性成像图;图c为胰头部剪切波弹性成像图;图d为胰尾部剪切波弹性成像图。图中患者为27岁健康女性,体质量指数为19.56 kg/m²,胰腺各部剪切波弹性测量均有效,胰体测量深度为2.4 cm,平均弹性测量值为6.8 kPa;胰头测量深度为3.4 cm,平均弹性测量值为9.0 kPa;胰尾测量深度为2.9 cm,平均弹性测量值为9.4 kPa
表1 受检者胰腺弹性成像成功率影响因素的Logistic回归分析
表2 不同部位胰腺弹性成像成功与否影响因素的Logistic回归分析
表3 不同部位胰腺弹性测量值及其影响因素的线性回归分析
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