罗剑锋 戴淼磊 叶海燕 闫景彬 厉杨杨 范敢锋

    [摘要]?目的?探讨剪切波弹性成像(shear?wave?elastography，SWE)对高血压患者肾皮质弹性的临床价值。方法?根据2020年国际高血压协会(International?Society?of?Hypertension，ISH)高血压实践指南诊断标准，选取笔者医院心内科收治的44例单纯高血压患者，另选取同期健康对照组46例，收集一般资料及血液生化指标。并对所有研究对象进行二维超声检查和SWE弹性检测，获得常规超声指标及右肾皮质杨氏模量(Youngs?modulus，YM)值，将上述参数进行两组间比较。将单纯高血压组右肾皮质YM值与一般资料、常规超声指标及肾功能等指标进行相关分析，并进行简单线性回归分析。结果?单纯高血压组病程、收缩压、舒张压高于对照组，差异有统计学意义(P0.05)。进一步通过简单线性回归分析表明高血压病程为右肾皮质YM的独立影响因素。结论?SWE可检测单纯性高血压患者肾脏皮质弹性变化。

    [关键词]?超声；剪切波；弹性成像；高血压；肾皮质

    [中图分类号]?R445.1?[文献标识码]?A?[DOI]?10.3969/j.issn.1673-9701.2024.17.010

    Evaluation?of?renal?cortex?elasticity?in?patients?with?hypertension?by?shear?wave?elastography

    LUO?Jianfeng，?DAI?Miaolei，?YE?Haiyan，?YAN?Jingbin，?LI?Yangyang，?FAN?Ganfeng

    Department?of?Ultrasound，?Wenzhou?Hospital?of?Integrated?Traditional?Chinese?and?Western?Medicine，?Wenzhou?325000，?Zhejiang，?China

    [Abstract]?Objective?To?explore?the?clinical?value?of?shear?wave?elastic?imaging?(SWE)?for?renal?cortical?elasticity?in?patients?with?hypertension.?Methods?According?to?the?diagnostic?criteria?of?2020?International?Society?of?Hypertension?(ISH)?Global?Hypertension?Practice?Guidelines ......