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小儿术前肺超声剪切波弹性成像的初步研究
引用本文:孙莉萍,吴蕾,王红,张瑞冬,张剑蔚,白洁,郑吉建. 小儿术前肺超声剪切波弹性成像的初步研究[J]. 国际麻醉学与复苏杂志, 2021, 42(1): 30-33
作者姓名:孙莉萍  吴蕾  王红  张瑞冬  张剑蔚  白洁  郑吉建
作者单位:上海交通大学医学院附属上海儿童医学中心麻醉科 200127;上海电气医疗系统超声应用部 201203;上海交通大学医学院附属上海儿童医学中心麻醉科,儿科临床药理学实验室 200127
基金项目:上海市科学技术委员会医学指导项目(16411967500);上海市卫生委员会青年学者研究基金(20194Y0094)。
摘    要:
目的:探讨肺超声剪切波弹性(lung shear wave elasticity, LUSWE)成像技术用于评估小儿术前肺组织弹性的可行性。方法:选择2018年10月—2019年6月在上海儿童医学中心全身麻醉下行择期外科手术的患儿32例,年龄4个月~11岁,ASA分级Ⅰ~Ⅲ级,性别不限。按病种将患儿分为先天性心脏病组(...

关 键 词:  超声  剪切波弹性成像  儿童

A preliminary study of lung ultrasound shear wave elastography in children during the preoperative period
Sun Liping,Wu Lei,Wang Hong,Zhang Ruidong,Zhang Jianwei,Bai Jie,Zheng Jijian. A preliminary study of lung ultrasound shear wave elastography in children during the preoperative period[J]. international journal of anesthesiology and resuscitation, 2021, 42(1): 30-33
Authors:Sun Liping  Wu Lei  Wang Hong  Zhang Ruidong  Zhang Jianwei  Bai Jie  Zheng Jijian
Affiliation:(Department of Anesthesiology,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Ultrasonic Application Department of Shanghai Electric Medical System,Shanghai 201203,China;Department of Anesthesiology,Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine,Pediatric Clinical Pharmacology Laboratory,Shanghai 200127,China)
Abstract:
Objective To explore the use of lung ultrasound shear wave elastography(LUSWE)in evaluating the elasticity of lung tissues in children before surgery.Methods A total of 32 children,aged from 4 months to 11 years old,American Society of Anesthesiologists(ASA)Ⅰ-Ⅲ,were selected,who were scheduled for surgery under general anesthesia in Shanghai Children's Medical Center from October 2018 to June 2019.According to their conditions,the patients were divided into two groups:a congenital heart disease(CHD)group and a non-CHD group.After mechanical ventilation for 5 min,they underwent lung ultrasonography and the shear wave velocity(SWV)in each region under the pleura was measured.Results The CHD group presented remarkably higher SWV in the right superoanterior area(SA)and upper lung region than the non-CHD group(P<0.05).Furthermore,the non-CHD group presented remarkable increases in SWV in the lower lung region compared with those in the upper lung region,as well as increases SWV in the left lower lung region compared with those in left upper lung area(P<0.05).Meanwhile,there was no statistical difference as to SWV in each region of the lung for children in the CHD group(P>0.05).Conclusions LUSWE can quickly measure the elasticity of lung tissues in children in a real-time and sensitive manner.
Keywords:Lung  Ultrasound  Shear wave elasticity  Children
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