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Updated: Jul 17, 2025

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剪切波弹性图学与二维超声波相结合,用于检测视神经外:评估孕前症的有效工具
Shanshan Su1, Huohu Zhong1, Xiaohua Wang2
1Department of Ultrasound, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Journal of clinical ultrasound : JCU
|August 29, 2023
概括
二维超声波和剪切波弹性图 (SWE) 可以评估子宫前时的视神经变化. 结合视神经外直径 (ONSD) 和视神经刚度测量 (ONSM) 提供了优越的诊断准确性,用于产前.
科学领域:
- 产科和妇科 产科和妇科
- 眼科医生 眼科 眼科
- 医疗成像医学成像
背景情况:
- 孕前是一种严重的妊娠并发症.
- 视神经病变可以在孕前中发生,但其评估具有挑战性.
- 非侵入性成像技术可能提供新的诊断途径.
研究的目的:
- 评估二维超声波和剪切波弹性成像 (SWE) 在预产的视神经病变评估中的实用性.
- 为了比较视神经外直径 (ONSD) 和视神经刚度测量 (ONSM) 在产前的诊断性能.
主要方法:
- 研究了91名孕妇 (51名孕前,40名对照).
- 视神经外直径 (ONSD) 使用2D超声波测量.
- 视神经刚度测量 (ONSM) 使用SWE进行了评估.
主要成果:
- 与对照组相比,ONSD和ONSM在妊娠前组显著高于对照组 (p <0.05).
- 与单独使用ONMS (AUC = 0.939) 或单独使用ONSD (AUC = 0.958) 相比,联合的ONSD+ONMS显示出更高的诊断性能 (AUC = 0.982).
- 在诊断子宫前时,ONSD和ONMS的组合显著有利 (p < 0.05).
结论:
- 二维超声波和SWE提供了预先怀孕症视神经变化的定量评估.
- 结合ONSD和ONSM测量可以提高孕前的诊断准确度.
- 这些超声波方法为评估孕妇视神经病变提供了有希望的方法.
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