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代谢综合征中的2D-SWE:超越MASLD,询问胰腺
Chitty Suvarna Duggireddy1, Rashmi Dixit2, Sapna Singh2
1Maulana Azad Medical College, New Delhi, India. duggireddychittysuvarna@gmail.com.
代谢综合征与脂肪肝和胰腺有关,增加了它们的硬度. 超声波弹性图 (2D-SWE) 可以帮助在代谢综合征患者中早期发现这些变化.
科学领域:
- 医疗成像医学成像
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
背景情况:
- 代谢综合征 (MS) 是一组增加心脏病,中风和糖尿病风险的疾病.
- 肝硬化症 (脂肪肝) 和胰腺硬化症 (脂肪胰腺) 是MS日益公认的并发症.
- 评估器官硬度可以提供MS相关器官损伤的见解.
研究的目的:
- 用超声波评估肝脏和胰腺肥胖症.
- 用超声波2D剪切波弹性学 (2D-SWE) 评估多发性硬化和器官度之间的关联.
主要方法:
- 131名患有多发性硬化症的成年患者接受了灰度超声波检测肝硬化症 (HS) 和胰腺硬化症 (PS) 的分级.
- 进行2D-SWE测量肝脏和胰腺硬度 (kPa和m/s).
- 分析了肥胖症等级,BMI,生化标志物和度值之间的相关性.
主要成果:
- HS等级与BMI有适度的相关性;PS等级与BMI的相关性很差.
- 肝脏和胰腺硬度与BMI分别有很强和中等的相关性.
- 三糖与HS和肝硬度相关性最强;禁食葡萄糖与PS和胰腺硬度相关性最强.
- 在肥胖症患者中,硬度值显著更高 (p < 0.001).
- 平均肝脏和胰腺硬度与HS (τ=0.84) 和PS (τ=0.82) 分别有很强的相关性.
结论:
- 多发性硬化与肝脏和胰腺肥胖症有关,导致器官硬度增加.
- 刚度值与肥胖症的程度有积极的相关性.
- 2D-SWE和生物化学标记可以帮助早期查和监测MS患者,以预防并发症.
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