声触诊组织量化技术在肝豆状核变性患者肝脏受损评价中的应用

目的:探讨声触诊组织量化(VTQ)技术评价肝豆状核变性(HD)患者肝脏受损的效果。方法:超声检查146例HD患者,分析患者肝脏声像图表现并进行分型归类,然后行VTQ技术检测,比较不同声像图类型的VTQ值。结果:146例患者VTQ值为1.14~3.71 m/s。不同声像图分型间VTQ值差异有统计学意义(P0.01);其中声像图为脂肪肝型及星光征患者VTQ值均明显低于树枝状、岩层状和结节状患者(P0.01),结节状患者VTQ值均高于树枝状与岩层状患者(P0.01),而树枝状患者VTQ值与岩层状患者差异无统计学意义(P0.05)。结论:VTQ技术能对HD患者肝脏的受损程度作出客观评价。

The application value of virtual touch tissue quantifications technique in liver damage detection of hepatolenticular dageneration patient

Objective： To investigate the application value of virtual touch tissue quantification （VTQ） technique in liver damage detection of hepatolenticular dageneration（HD） patient. Methods：One hundred fourty-six HD patients were detected using ultrasound and VTQ technique, their liver uhrasonographic manifestations were classified, and the VTQ value of two kinds of liver sonograms were compared. Results：The VTQ value of 146 HD patients was 1. 14 to 3.71 m/s. The difference of VTQ value in two kinds of liver sonograms had statistic significance（ P 〈 0.01 ）. The VTQ value of light liver disease HD patients with fatty infiltration type and glinting echogemic dots type sonogram were lower than those in patients with the tree like type, rock stratum type and nodular type sonograms （ P 〈 0.01 ）. The VTQ value of patients with nodular type sonogram was higher than that in patients with tree like type and rock stratum type sonograms（ P 〈 0.01 ）, the VTQ value difference between tree like type and rock stratum type patients has no statistic significance （P 〉 0.05 ）. Conclusions ： VTQ technique can objectively evaluate the liver damage degree of HD patient.