{"id":3515,"date":"2020-07-05T12:34:36","date_gmt":"2020-07-05T17:34:36","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=3515"},"modified":"2020-07-06T08:37:59","modified_gmt":"2020-07-06T13:37:59","slug":"ultrasound","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/zh-hans\/ultrasound\/","title":{"rendered":"\u8d85\u58f0\u68c0\u67e5\u7684\u65b0\u52a8\u6001\u662f\u4ec0\u4e48\uff1f"},"content":{"rendered":"

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\u8179\u90e8\u5f71\u50cf<\/strong><\/span><\/p>\n

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\u521d\u6b65\u7814\u7a76
\n<\/u><\/em><\/strong><\/span>\u8d85\u58f0\u8bca\u65ad\u80be\u79fb\u690d\u7269\u5c3f\u8def\u4e0a\u76ae\u589e\u539a\uff1a\u4e00\u79cd\u68c0\u6d4b\u6025\u6027\u6392\u65a5\u53cd\u5e94\u7684\u65e0\u521b\u7684\u548c\u4e34\u5e8a\u9ad8\u5ea6\u76f8\u5173\u7684\u6807\u5fd7\u7269<\/strong>
\n<\/strong><\/span>Fananapazir G, Navarro SM, Zhou C, et al. Sonographically Diagnosed Urothelial Thickening in Kidney Allografts: A Noninvasive and Clinically Highly Relevant Marker for the Detection of Acute Rejection. AJR Am J Roentgenol. 2020;215(1):148-152.
\nhttps:\/\/doi.org\/10.2214\/AJR.19.22128<\/a><\/h5>\n

\u80cc\u666f\uff1a<\/strong>\u65e9\u671f\u53d1\u73b0\u79fb\u690d\u6392\u65a5\u5bf9\u6f5c\u5728\u5730\u4fdd\u62a4\u5668\u5b98\u5f88\u91cd\u8981\u3002\u8bb8\u591a\u6709\u5173\u8d85\u58f0\u68c0\u67e5\u80be\u79fb\u690d\u6392\u65a5\u53cd\u5e94\u7684\u7814\u7a76\u90fd\u5df2\u8fc7\u65f6\u3002<\/p>\n

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\n\u5730\u70b9\uff1a<\/strong>\u5355\u4e2d\u5fc3\uff1bUC Davis \u533b\u5b66\u4e2d\u5fc3, \u8428\u514b\u62c9\u95e8\u6258, \u52a0\u5dde, USA<\/p>\n

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\n<\/strong>\u8bbe\u8ba1\uff1a<\/strong>\u56de\u987e\u6027\u7814\u7a76\u5206\u6790\u4e862015-2018\u5e74\u7684\u6570\u636e\u3002 3\u4f4d\u653e\u5c04\u79d1\u533b\u751f\u56de\u987e\u4e86\u75c5\u7406\u5b66\u4e0a\u5177\u6709\u6025\u6027\u79fb\u690d\u6392\u65a5\u53cd\u5e94\u7684\u60a3\u8005\u7684US\u56fe\u50cf\u3002\u8bb0\u5f55\u7684\u5f71\u50cf\u5b66\u8868\u73b0\u5305\u62ec\u80be\u76ae\u8d28\u7684\u56de\u58f0\uff0c\u704c\u6ce8\uff0c\u5c3f\u8def\u4e0a\u76ae\u589e\u539a\u548c\u76ae\u9ad3\u8d28\u5dee\u5f02\u3002
\n<\/strong>\u7ed3\u679c\uff1a<\/strong>\u5728\u8bb0\u5f55\u7684\u5f71\u50cf\u5b66\u8868\u73b0\u4e2d\uff0c\u53ea\u6709\u5c3f\u8def\u4e0a\u76ae\u589e\u539a\u4e0e\u6025\u6027\u80be\u79fb\u690d\u6392\u65a5\u53cd\u5e94\u660e\u663e\u76f8\u5173\uff08p <0.001\uff09\u3002\u5176\u8bca\u65ad\u6392\u65a5\u53cd\u5e94\u7684\u654f\u611f\u6027\u4e3a96\uff05\uff0c\u9634\u6027\u9884\u6d4b\u503c\uff08NPV\uff09\u4e3a98\uff05\u3002
\n<\/strong>\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>US\u4e0a\u5c3f\u8def\u4e0a\u76ae\u589e\u539a\u5bf9\u6025\u6027\u80be\u79fb\u690d\u6392\u65a5\u53cd\u5e94\u8bca\u65ad\u9ad8\u5ea6\u654f\u611f\u5e76\u6709\u5f88\u9ad8\u7684\u9634\u6027\u9884\u6d4b\u503c\u3002<\/p>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76
\n<\/u><\/em><\/strong><\/span>\u8d85\u58f0\u9020\u5f71<\/strong>\u53ca<\/strong>CT<\/strong>\u68c0\u67e5<\/strong>\u5bf9\u809d\u7ec6\u80de\u764c\u7684\u8bca\u65ad\u4ef7\u503c\uff1a<\/strong>\u4e00\u9879<\/strong>\u5355\u4e2d\u5fc3\u56de\u987e\u6027\u8bc4\u4f30<\/strong>234<\/strong>\u4f8b\u60a3\u8005<\/strong>
\n<\/strong><\/span>Schwarze V, Marschner C, V\u00f6lckers W, et al. Diagnostic value of contrast-enhanced ultrasound versus computed tomography for hepatocellular carcinoma: a retrospective, single-center evaluation of 234 patients. J Int Med Res. 2020;48(6):300060520930151.
\nhttps:\/\/doi.org\/10.1177\/0300060520930151<\/a><\/h5>\n

\u80cc\u666f\uff1a<\/strong>\u809d\u7ec6\u80de\u764c\uff08HCC\uff09\u7684\u5f71\u50cf\u68c0\u67e5\u901a\u5e38\u5305\u62ec\u591a\u79cd\u68c0\u67e5\u65b9\u6cd5\uff0c\u800c\u8d85\u58f0\u901a\u5e38\u7528\u4e8e\u7b5b\u67e5\u3002\u8d85\u58f0\u9020\u5f71\uff08CEUS\uff09\u662f\u4e00\u9879\u52a8\u6001\u7814\u7a76\uff0c\u80fd\u591f\u8bc4\u4f30\u5305\u62ecHCC\u5728\u5185\u7684\u809d\u810f\u75c5\u7076\u7684\u8840\u4f9b\u6a21\u5f0f\u3002<\/p>\n

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\n<\/strong>\u5730\u70b9\uff1a<\/strong>\u5355\u4e2d\u5fc3\uff1b\u6155\u5c3c\u9ed1Ludwig Maximilian\u5927\u5b66, \u5fb7\u56fd
\n<\/strong>\u53c2\u4e0e\u8005\u548c\u5165\u7ec4\u6807\u51c6\uff1a<\/strong>CT\u548cCEUS\u68c0\u67e5\u4e2d\u53d1\u73b0\u809d\u810f\u75c5\u53d8\u7684234\u540d\u60a3\u8005\u3002<\/p>\n

\u8bbe\u8ba1\uff1a<\/strong>\u56de\u987e\u6027\u7814\u7a76\u6c47\u603b\u4e862004-2018\u5e74\u7684\u6570\u636e\u3002\u7531\u4e00\u4f4d\u7ecf\u9a8c\u4e30\u5bcc\u7684\u653e\u5c04\u79d1\u533b\u751f\u5bf9\u68c0\u67e5\u7ed3\u679c\u8fdb\u884c\u5206\u6790\u3002
\n<\/strong>\u7ed3\u679c\uff1a<\/strong>\u4e0eCT\u6807\u51c6\u76f8\u6bd4\uff0cCEUS\u8bca\u65adHCC\u7684\u654f\u611f\u6027\u4e3a94\uff05\uff0c\u7279\u5f02\u6027\u4e3a70\uff05\u3002\u76f8\u5e94\u5730\uff0c\u9633\u6027\u9884\u6d4b\u503c\u4e3a93\uff05\uff0c\u9634\u6027\u9884\u6d4b\u503c\u4e3a72\uff05\u3002<\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u4e0eCT\u76f8\u6bd4\uff0cCEUS\u5bf9HCC\u7684\u8bc4\u4f30\u662f\u9ad8\u5ea6\u51c6\u786e\u7684\u3002<\/p>\n

 <\/p>\n

\u66f4\u65b0<\/u><\/em><\/strong>\/<\/u><\/em><\/strong>\u56de\u987e
\n<\/u><\/em><\/strong>\u5728<\/strong>CT<\/strong>\u548c<\/strong>MRI<\/strong>\u4e0a\u826f\u6076\u6027\u96be\u4ee5\u786e\u5b9a\u7684\u809d\u810f\u75c5\u53d8\u7684\u8d85\u58f0\u9020\u5f71\u7684\u7279\u5f81\uff1a\u8bc1\u636e\u662f\u4ec0\u4e48\uff1f<\/strong>
\n<\/strong><\/span>Wang DC, Jang HJ, Kim TK. Characterization of Indeterminate Liver Lesions on CT and MRI With Contrast-Enhanced Ultrasound: What Is the Evidence?. AJR Am J Roentgenol. 2020;214(6):1295-1304. https:\/\/doi.org\/10.2214\/AJR.19.21498<\/a><\/h5>\n

\u6982\u8ff0\uff1a<\/strong>\u672c\u6587\u65e8\u5728\u5bf9CEUS\u5728\u809d\u810f\u6210\u50cf\u4e2d\u7684\u65b9\u6cd5\u3001\u7528\u9014\u548c\u5206\u6790\u8fdb\u884c\u7efc\u8ff0\u3002CEUS\u4e4b\u6240\u4ee5\u72ec\u7279\uff0c\u662f\u56e0\u4e3a\u8d85\u58f0\u9020\u5f71\u5242\u4ec5\u7559\u5728\u8840\u7ba1\u5185\uff0c\u5e76\u4e14\u53ef\u4ee5\u8fdb\u884c\u5b9e\u65f6\u8bc4\u4f30\u3002\u91cd\u70b9\u8bc4\u4f30\u4e86\u5728CT\u548cMRI\u4e0a\u826f\u6076\u6027\u96be\u4ee5\u786e\u5b9a<\/strong>\u7684\u809d\u810f\u75c5\u53d8\u3002US\u5728\u4e00\u4e9b\u5173\u952e\u7684\u9886\u57df\u4e2d\u53ef\u80fd\u6709\u6240\u5e2e\u52a9\uff0c\u5305\u62ecHCC\u548c\u809d\u5185\u80c6\u7ba1\u7ec6\u80de\u764c\u7684\u8bc4\u4f30\uff0c\u826f\u6027\u8840\u6813\u4e0e\u80bf\u7624\u764c\u6813\u7684\u8bc4\u4f30\uff0c\u53ca\u809d\u817a\u7624\u4e0e\u5c40\u7076\u7ed3\u8282\u6027\u589e\u751f\u7684\u9274\u522b\u3002<\/p>\n

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\u521d\u6b65\u7814\u7a76
\n<\/u><\/em><\/strong>\u57fa\u4e8e\u8d85\u58f0\u56fe\u50cf\u7684\u5f71\u50cf\u7ec4\u5b66\u7279\u5f81\u65e0\u521b\u9884\u6d4b\u65e9\u671f\u5bab\u9888\u764c\u60a3\u8005\u7684\u6dcb\u5df4\u7ed3\u72b6\u6001<\/strong>
\n<\/strong><\/span>Jin X, Ai Y, Zhang J, et al. Noninvasive prediction of lymph node status for patients with early-stage cervical cancer based on radiomics features from ultrasound images. Eur Radiol. 2020;30(7):4117-4124. https:\/\/doi.org\/10.1007\/s00330-020-06692-1<\/a><\/h5>\n

\u80cc\u666f\uff1a<\/strong>\u5bab\u9888\u764c\u7684\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u662f\u590d\u53d1\u548c\u751f\u5b58\u7684\u6700\u91cd\u8981\u7684\u5371\u9669\u56e0\u7d20\u3002\u76ee\u524d\u53ea\u6709\u5c11\u6570\u62a5\u9053\u5e94\u7528\u8d85\u58f0\u548c\u5f71\u50cf\u7ec4\u5b66\u4f7f\u7528\u673a\u5668\u5b66\u4e60\u4ece\u56fe\u50cf\u4e2d\u63d0\u53d6\u5927\u91cf\u7ec6\u8282\u7528\u4e8e\u5bab\u9888\u764c\u7684\u7814\u7a76\u3002
\n\u95ee\u9898\uff1a<\/strong>\u5c06\u5f71\u50cf\u7ec4\u5b66\u5e94\u7528\u4e8e\u8d85\u58f0\u56fe\u50cf\u4e0a\u6709\u52a9\u4e8e\u68c0\u6d4b\u65e9\u671f\u5bab\u9888\u764c\u7684\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u5417\uff1f<\/p>\n

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\n<\/strong>\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u4f7f\u7528\u653e\u5c04\u7ec4\u5b66\u6a21\u578b\u8fdb\u884c\u672f\u524d\u8d85\u58f0\u68c0\u67e5\u6709\u53ef\u80fd\u9884\u6d4b\u5bab\u9888\u764c\u7684\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002\u5982\u679c\u7ecf\u8fc7\u9a8c\u8bc1\uff0c\u4e5f\u53ef\u80fd\u6709\u52a9\u4e8e\u6307\u5bfc\u624b\u672f\u65b9\u6cd5\u3002<\/p>\n

\u00a0<\/strong><\/p>\n

\u521d\u6b65\u7814\u7a76
\n<\/u><\/em><\/strong>\u8d85\u58f0\u9020\u5f71\u76f8\u5bf9\u4e8e<\/strong>B<\/strong>\u8d85\u5bf9\u809d\u7ec6\u80de\u817a\u7624\u4e9a\u578b\u5206\u578b\u7684\u9644\u52a0\u4ef7\u503c\u6709\u9650<\/strong><\/span><\/h5>\n

Gregory J, Paisant A, Paulatto L, et al. Limited added value of contrast-enhanced ultrasound over B-mode for the subtyping of hepatocellular adenomas. Eur J Radiol. 2020.
\nhttps:\/\/doi.org\/10.1016\/j.ejrad.2020.109027<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>\u809d\u7ec6\u80de\u817a\u7624\uff08HCA\uff09\u73b0\u5728\u88ab\u8ba4\u4e3a\u6709\u591a\u79cd\u7ec4\u7ec7\u75c5\u7406\u5b66\u4e9a\u578b\uff0c\u8fd9\u89e3\u91ca\u4e86\u5176\u4e34\u5e8a\u8868\u73b0\u548c\u5f71\u50cf\u7279\u5f81\u7684\u591a\u6837\u6027\u3002\u4e24\u79cd\u5e38\u89c1\u7684\u4e9a\u578b\u662f\u708e\u6027\u578b\uff08I-HCA\uff09\u548cHNF1-\u03b1\u578b\uff08H-ICA\uff09\u3002
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\u53c2\u4e0e\u8005\u548c\u5165\u7ec4\u6807\u51c6\uff1a<\/strong>33\u4f8b\u670944\u4e2a\u75c5\u7406\u8bc1\u5b9e\u7684HCA\uff0829\u4e2aI-HCA\u548c15\u4e2aH-HCA\uff09\u8fd1\u884c\u4e86\u8d85\u58f0\u9020\u5f71\uff08CEUS\uff09\u68c0\u67e5\u3002
\n\u8bbe\u8ba1\uff1a<\/strong>\u7814\u7a76\u6bd4\u8f83\u4e86\u7ecf\u75c5\u7406\u8bc1\u5b9e\u7684I-HCA\u548cH-HCA\u5728B\u8d85\u548cCEUS\u4e0a\u7684\u5f71\u50cf\u7279\u5f81\u3002\u56de\u987e\u6027\u6536\u96c6\u6570\u636e\uff0c\u5e76\u5bf9\u56fe\u50cf\u8fdb\u884c\u524d\u77bb\u6027\u8bc4\u4f30\u3002\u4e24\u540d\u8179\u90e8\u653e\u5c04\u79d1\u533b\u751f\u548c\u4e00\u540d\u8d44\u6df1\u75c5\u7406\u5b66\u5bb6\u5bf9\u56fe\u50cf\u8fdb\u884c\u4e86\u56de\u987e\u3002\u8fdb\u884c\u56de\u987e\u7684\u653e\u5c04\u79d1\u533b\u751f\u5e76\u4e0d\u77e5\u9053HCA\u7684\u4e9a\u578b\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>\u5728B\u8d85\u4e0a\uff0c\u5927\u591a\u6570I-HCA\u662f\u4f4e\u56de\u58f0\uff0879\uff05\uff09\u6216\u7b49\u56de\u58f0\uff0814\uff05\uff09\uff0c\u8fd9\u4e0eH-HCA\u660e\u663e\u4e0d\u540c\uff0c\u540e\u8005\u4e3b\u8981\u662f\u9ad8\u56de\u58f0\uff0893\uff05\uff09\uff08P = 0.001\uff09\u3002\u5728\u6ca1\u6709\u809d\u810f\u8102\u80aa\u53d8\u6027\u7684\u60c5\u51b5\u4e0b\uff0c\u7b49\u56de\u58f0\u548c\u9ad8\u56de\u58f0\u75c5\u53d8\u5bf9H-HCA\u7684\u8bca\u65ad\u5177\u6709100\uff05\u7684\u7279\u5f02\u6027\u3002\u5728CEUS\u4e0a\uff0c\u4e24\u7ec4\u5747\u51fa\u73b0\u52a8\u8109\u9ad8\u5f3a\u5316\uff0c\u89c1\u4e8e93\uff05\u7684I-HCA\u548cH-HCA\u75c5\u53d8\u4e2d\uff08p = 0.98\uff09\u3002\u5f3a\u5316\u6d17\u892a\u5728\u4e24\u7ec4\u4e2d\u4e5f\u6ca1\u6709\u7edf\u8ba1\u5b66\u610f\u4e49\uff0c\u89c1\u4e8e21\uff05\u7684I-HCA\u548c7\uff05\u7684H-HCA\u4e2d\uff08P = 0.27\uff09\u3002\u6240\u6709\uff08100\uff05\uff09H-HCA\u548c79\uff05I-HCA\u5728\u95e8\u9759\u8109\u671f\u548c\u5ef6\u8fdf\u671f\u8868\u73b0\u4e3a\u7b49\u56de\u58f0\uff08p = 0.04\uff09\u3002
\n\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u5f53\u6000\u7591\u6216\u5df2\u77e5\u6709\u809d\u7ec6\u80de\u817a\u7624\u65f6\uff0cB\u8d85\u7279\u5f81\u6709\u52a9\u4e8e\u533a\u5206\u8fd9\u4e24\u79cd\u4e9a\u578b\u3002\u5728\u8fd9\u65b9\u9762\uff0cCEUS\u7684\u9644\u52a0\u8bca\u65ad\u4ef7\u503c\u4e0d\u5927\u3002<\/p>\n

 <\/p>\n

\u66f4\u65b0<\/u><\/em><\/strong>\/<\/u><\/em><\/strong>\u56de\u987e
\n<\/u><\/em><\/strong>\u653e\u5c04\u79d1\u533b\u751f\u534f\u4f1a\u5bf9\u8d85\u58f0\u809d\u810f\u5f39\u6027\u6210\u50cf\u5171\u8bc6\u58f0\u660e\u7684\u66f4\u65b0<\/strong><\/span><\/h5>\n

Barr RG, Wilson SR, Rubens D, Garcia-Tsao G, Ferraioli G. Update to the Society of Radiologists in Ultrasound Liver Elastography Consensus Statement. Radiology. 2020. https:\/\/doi.org\/10.1148\/radiol.2020192437<\/a><\/p>\n

\u6982\u8ff0\uff1a<\/strong>\u81ea2015\u5e74\u8d85\u58f0\u653e\u5c04\u79d1\u533b\u751f\u534f\u4f1a\u53d1\u8868\u5171\u8bc6\u58f0\u660e\u4ee5\u6765\uff0c\u809d\u810f\u526a\u5207\u6ce2\u5f39\u6027\u6210\u50cf\uff08SWE\uff09\u7684\u6570\u636e\u91cf\u660e\u663e\u589e\u52a0\u3002\u6b64\u5916\uff0c\u65b0\u6280\u672f\u5df2\u51fa\u73b0\u5e76\u964d\u4f4e\u4e86\u4e0d\u540c\u7cfb\u7edf\u95f4\u7684\u6d4b\u91cf\u5dee\u5f02\u3002\u56e0\u6b64\uff0c\u6b64\u66f4\u65b0\u7684\u76ee\u7684\u662f\u8bf4\u660e\u8fd9\u4e9b\u53d8\u5316\uff0c\u4f8b\u5982\u6539\u8fdb\u5bf9\u4ee3\u507f\u6027\u665a\u671f\u6162\u6027\u809d\u75c5\uff08cACLD\uff09\u7684\u68c0\u6d4b\u3002\u4ed6\u4eec\u8fd8\u5f3a\u8c03\uff0c\u5728\u75c5\u6bd2\u6027\u809d\u708e\u4e2d\uff0c\u5e94\u5728\u6cbb\u6108\u6216\u5145\u5206\u63a7\u5236\u75c5\u6bd2\u540e\u83b7\u53d6\u57fa\u7ebf\u503c\u3002\u53e6\u5916\uff0c\u5bf9\u4e8e\u6240\u6709\u60a3\u8005\uff0c\u5747\u5e94\u4f7f\u7528\u968f\u65f6\u95f4\u53d8\u5316\u7684\u809d\u786c\u5ea6\uff0c\u800c\u4e0d\u662f\u7edd\u5bf9\u503c\u3002<\/p>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76
\n<\/u><\/em><\/strong>\u6709<\/strong>\u6216\u65e0\u7cd6<\/strong>\u5c3f\u75c5\u80be\u75c5\u7684\u7cd6\u5c3f\u75c5\u60a3\u8005\u8d85\u58f0\u526a\u5207\u6ce2\u6210\u50cf\u7684\u80be\u5b9e\u8d28\u786c\u5ea6\u6bd4\u8f83<\/strong>
\n<\/strong><\/span>Shi LQ, Sun JW, Miao HH, Zhou XL. Comparison of Supersonic Shear Wave Imaging-Derived Renal Parenchyma Stiffness Between Diabetes Mellitus Patients With and Without Diabetic Kidney Disease. Ultrasound Med Biol. 2020;46(7):1630-1640.
\nhttps:\/\/doi.org\/10.1016\/j.ultrasmedbio.2020.03.026<\/a><\/h5>\n

\u80cc\u666f\uff1a<\/strong>\u7cd6\u5c3f\u75c5\u80be\u75c5\u96be\u4ee5\u68c0\u6d4b\u548c\u8bca\u65ad\uff0c\u5c24\u5176\u662f\u5728\u75be\u75c5\u7684\u65e9\u671f\u9636\u6bb5\u3002\u75c5\u7406\u6539\u53d8\uff0c\u5982\u7cd6\u5c3f\u75c5\u80be\u75c5\u5f15\u8d77\u7684\u80be\u5c0f\u7ba1\u95f4\u8d28\u7ea4\u7ef4\u5316\uff0c\u53ef\u80fd\u5bfc\u81f4\u80be\u786c\u5ea6\u6539\u53d8\u3002\u526a\u5207\u6ce2\u5f39\u6027\u6210\u50cf\uff08SWE\uff09\u5728\u5176\u4ed6\u5668\u5b98\u4e2d\uff0c\u5982\u809d\u810f\uff0c\u5df2\u88ab\u8bc1\u5b9e\u80fd\u53ef\u9760\u5730\u4f30\u8ba1\u786c\u5ea6\u3002
\n\u95ee\u9898\uff1a<\/strong>\u6709\u6216\u65e0\u7cd6\u5c3f\u75c5\u80be\u75c5\u76842\u578b\u7cd6\u5c3f\u75c5\uff08DM\uff09\u60a3\u8005\u4e4b\u95f4\u80be\u810f\u786c\u5ea6\u5b58\u5728\u5dee\u5f02\u5417\uff1f
\n<\/strong>\u5730\u70b9\uff1a<\/strong>\u5355\u4e2d\u5fc3\uff1b\u54c8\u5c14\u6ee8\u533b\u79d1\u5927\u5b66\u7b2c\u4e8c\u9644\u5c5e\u533b\u9662\uff0c\u4e2d\u56fd
\n<\/strong>\u53c2\u4e0e\u8005\u548c\u5165\u7ec4\u6807\u51c6\uff1a<\/strong>\u5171124\u4f8b\u53c2\u4e0e\u8005\u5305\u62ec\u5065\u5eb7\u8005\uff08n = 31\uff09,\u65e0\u7cd6\u5c3f\u75c5\u80be\u75c5\u76842\u578bDM\u60a3\u8005\uff08n = 38\uff09\u548c\u6709\u7cd6\u5c3f\u75c5\u80be\u75c5\u76842\u578bDM\u60a3\u8005\uff08n = 55\uff09
\n<\/strong>\u8bbe\u8ba1\uff1a<\/strong>\u524d\u77bb\u6027\u7684\u8bbe\u8ba1\uff0c\u6d4b\u91cf\u80be\u810f\u5927\u5c0f\uff0c\u539a\u5ea6\uff0c\u53f6\u95f4\u52a8\u8109\u62b5\u6297\u6307\u6570\uff08RI\uff09\u548c\u786c\u5ea6\u3002\u786c\u5ea6\u7528SWE\u7684\u6768\u6c0f\u6a21\u91cf\uff08YM\uff09\u8fdb\u884c\u6d4b\u91cf\uff0c\u5e76\u8bb0\u5f55\u5747\u503c\u3001\u6700\u5c0f\u503c\u548c\u6700\u5927\u503c\u3002\u6839\u636e\u6162\u6027\u80be\u75c5\uff08CKD\uff09\u75be\u75c5\u9636\u6bb5\u7cd6\u5c3f\u75c5\u80be\u75c5\u60a3\u8005\u5206\u4e3a1-5\u7c7b\u522b\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>\u5065\u5eb7\u8005\u7684\u5e73\u5747YM\uff0826.45\u00b14.32 kPa\uff09\u660e\u663e\u4f4e\u4e8e\u60a3\u67092\u578bDM\u4f46\u65e0\u7cd6\u5c3f\u75c5\u80be\u75c5\u7684\u60a3\u8005\uff0831.44\u00b13.83 kPa\uff09\u548c\u60a3\u6709\u7cd6\u5c3f\u75c5\u80be\u75c5\u7684\u60a3\u8005\uff0837.60\u00b16.56 kPa\uff09\uff08\u6240\u6709P < 0.05 \uff09\u3002\u6ca1\u6709CKD\u548cCKD 1-2\u671f\u7684\u7cd6\u5c3f\u75c5\u60a3\u8005\u7684\u5e73\u5747\u786c\u5ea6\u4f4e\u4e8eCKD 5\u671f\u7684\u60a3\u8005\u3002\u5728\u7cd6\u5c3f\u75c5\u80be\u75c5\u7ec4\u4e2d\uff0cYM\u4e0e\u808c\u9150\uff08r = 0.690\uff09\u6c34\u5e73\u5448\u6b63\u76f8\u5173\uff0c\u4e0e\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\uff08GFR\uff09\u5448\u8d1f\u76f8\u5173\uff08r = -0.657\uff09\u3002
\n<\/strong>\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>SWE\u53ef\u80fd\u662f\u68c0\u6d4b\u7cd6\u5c3f\u75c5\u80be\u75c5\u7684\u4e00\u79cd\u6709\u6548\u3001\u65e0\u521b\u7684\u65b9\u6cd5\uff0c\u5e76\u4e14\u4f18\u4e8e\u5e38\u89c4\u8d85\u58f0\u68c0\u67e5\u3002\u8fd9\u4e5f\u6709\u52a9\u4e8e\u76d1\u6d4b2\u578bDM\u60a3\u8005\u7684\u80be\u810f\u635f\u5bb3\u3002<\/p>\n

 <\/p>\n

\u66f4\u65b0<\/u><\/em><\/strong>\/<\/u><\/em><\/strong>\u56de\u987e
\n<\/u><\/em><\/strong>\u9634\u830e<\/strong>\/<\/strong>\u52c3\u8d77\u529f\u80fd\u969c\u788d\u7684\u8d85\u58f0\u68c0\u67e5<\/strong>
\n<\/strong><\/span>Bertolotto M, Campo I, Sachs C, et al. Sonography of the penis\/erectile dysfunction. Abdom Radiol. 2020;45(7):1973-1989.
\nhttps:\/\/doi.org\/10.1007\/s00261-020-02529-z<\/a><\/h5>\n

\u6982\u8ff0\uff1a<\/strong>\u8fd9\u7bc7\u7efc\u8ff0\u6587\u7ae0\u63a2\u8ba8\u4e86\u52c3\u8d77\u529f\u80fd\u969c\u788d\u7684\u75be\u75c5\u8c31\uff0c\u7279\u522b\u662f\u5b83\u4e0e\u5f71\u50cf\u7684\u5173\u7cfb\u3002\u8be6\u7ec6\u8ba8\u8bba\u4e86\u89e3\u5256\u5b66\uff0cUS\u9002\u5e94\u75c7\u548c\u626b\u63cf\u6280\u672f\u3002\u8be6\u7ec6\u4ecb\u7ecd\u4e86\u51e0\u79cd\u75be\u75c5\u8fdb\u7a0b\uff0c\u5305\u62ec\u9634\u830e\u5f02\u5e38\u52c3\u8d77\u7684\u51e0\u79cd\u4e9a\u578b\uff0cPeyronie\u75c5\u548c\u9635\u53d1\u6027\u52c3\u8d77\u529f\u80fd\u969c\u788d\u4ee5\u53ca\u5b83\u4eec\u5728\u8d85\u58f0\u68c0\u67e5\u4e2d\u7684\u5f71\u50cf\u5b66\u8868\u73b0\u3002\u8fd8\u5173\u6ce8\u4e86\u5f39\u6027\u6210\u50cf\u5728\u8bca\u65ad\u4e2d\u7684\u4f5c\u7528\u4ee5\u53ca\u76f8\u5173\u65b9\u9762\u6700\u65b0\u53d1\u8868\u7684\u6587\u7ae0\u3002<\/p>\n

 <\/p>\n

\u80f8\u90e8\u5f71\u50cf<\/strong><\/span><\/h3>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76
\n<\/u><\/em><\/strong>\u80ba\u90e8\u8d85\u58f0\u68c0\u67e5\u4f5c\u4e3a\u8bca\u65ad\u8001\u5e74\u4eba\u793e\u533a\u83b7\u5f97\u6027\u80ba\u708e\u7684\u4e00\u79cd\u51c6\u786e\u8bca\u65ad\u65b9\u6cd5<\/strong>
\n<\/strong><\/span>Buda N, Hajduk A, Jaworska J, Zdrojewski Z. Lung Ultrasonography as an Accurate Diagnostic Method for the Diagnosis of Community-Acquired Pneumonia in the Elderly Population. Ultrasound Q. 2020;36(2):111-117.
\nhttps:\/\/doi.org\/10.1097\/RUQ.0000000000000499<\/a><\/h5>\n

\u80cc\u666f\uff1a<\/strong>\u793e\u533a\u83b7\u5f97\u6027\u80ba\u708e\uff08CAP\uff09\u662f\u8001\u5e74\u60a3\u8005\u53d1\u75c5\u548c\u6b7b\u4ea1\u7684\u4e3b\u8981\u539f\u56e0\u3002\u80f8\u90e8\u5e73\u7247\u68c0\u67e5\u5bf9\u7591\u4f3c\u80ba\u708e\u7684\u654f\u611f\u6027\u5f88\u4f4e\u3002
\n<\/strong>\u95ee\u9898\uff1a<\/strong>\u80ba\u90e8US\u53ef\u7528\u4e8e\u8bc6\u522b\u8001\u5e74\u4eba\u7fa4\u4e2d\u7684CAP\u4e14\u5176\u51c6\u786e\u6027\u9ad8\u4e8eX\u7ebf\u80f8\u7247\u68c0\u67e5\u5417\uff1f
\n<\/strong>\u5730\u70b9\uff1a<\/strong>\u5355\u4e2d\u5fc3\uff1b\u683c\u4e39\u65af\u514b\u533b\u79d1\u5927\u5b66, \u6ce2\u5170<\/p>\n

\u53c2\u4e0e\u8005\u548c\u5165\u7ec4\u6807\u51c6\uff1a<\/strong>191\u4f8b\u4f4f\u9662\u6cbb\u7597\u80ba\u708e\u7684\u60a3\u8005
\n<\/strong>\u8bbe\u8ba1\uff1a<\/strong>\u524d\u77bb\u6027\u7814\u7a76\u8bbe\u8ba1\uff0c\u5165\u9662\u540e\u6570\u5c0f\u65f6\u5185\u5373\u8fdb\u884cX\u7ebf\u80f8\u7247\u548c\u80ba\u90e8\u8d85\u58f0\u68c0\u67e5\u3002\u7531\u7ecf\u9a8c\u4e30\u5bcc\u7684\u4e34\u5e8a\u533b\u751f\u8fdb\u884cUS\u68c0\u67e5\uff0c\u80ba\u708e\u7684\u5f81\u8c61\u5305\u62ec\u80f8\u819c\u4e0b\u5b9e\u53d8\uff0cB\u7ebf\u5f81\u548c\/\u6216\u5c40\u7076\u6027\u201c\u767d\u80ba\u201d\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>\u53ea\u670965\u4f8b\u60a3\u8005\u5728X\u7ebf\u80f8\u7247\u4e0a\u53d1\u73b0\u4e86\u80ba\u708e\uff0c\u800c114\u4f8b\uff0860\uff05\u7814\u7a76\u7ec4\u548c99\uff05\u51fa\u9662\u65f6\u786e\u8bca\u4e3a\u80ba\u708e\u7684\u60a3\u8005\uff09\u5728US\u4e0a\u8bca\u65ad\u4e3a\u80ba\u708e\u3002\u80ba\u90e8US\uff08\u5bf9\u80ba\u708e\uff09\u7684\u654f\u611f\u6027\u548c\u7279\u5f02\u6027\u5747\u4e3a99\uff05\uff0c\u800cX\u7ebf\u80f8\u7247\u5206\u522b\u4ec5\u4e3a57\uff05\u548c100\uff05\u3002<\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u80baUS\u5728\u8001\u5e74\u4eba\u7fa4\u4e2d\u53d1\u73b0\u80ba\u708e\u4f18\u4e8eX\u7ebf\u80f8\u7247\u3002\u5229\u7528\u8be5\u65b9\u6cd5\u53ef\u4ee5\u5feb\u901f\u800c\u66f4\u8d39\u7528\u4fbf\u5b9c\u5730\u5728\u8001\u5e74\u4eba\u7fa4\u4e2d\u8bca\u65ad\u80ba\u708e\u3002<\/p>\n

 <\/p>\n

\u4ecb\u5165\u5f71\u50cf\u5b66<\/strong><\/span><\/h3>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76
\n<\/u><\/em><\/strong>\u526a\u5207\u6ce2\u8d85\u58f0\u5f39\u6027\u6210\u50cf\u6280\u672f\u68c0\u6d4b\u8179\u4e3b\u52a8\u8109\u7624\u8154\u5185\u4fee\u590d\u540e\u7684\u5185\u6f0f\u548c\u8bc4\u4f30\u8840\u6813\u5f62\u6210\u7684\u53ef\u884c\u6027<\/strong>
\n<\/strong><\/span>Voizard N, Bertrand-Grenier A, Alturkistani H, et al. Feasibility of shear wave sonoelastography to detect endoleak and evaluate thrombus organization after endovascular repair of abdominal aortic aneurysm. Eur Radiol. 2020;30(7):3879-3889.
\nhttps:\/\/doi.org\/10.1007\/s00330-020-06739-3<\/a><\/h5>\n

\u80cc\u666f\uff1a<\/strong>\u8179\u4e3b\u52a8\u8109\u7624\uff08AAA\uff09\u8fdb\u884c\u8840\u7ba1\u5185\u52a8\u8109\u7624\u4fee\u590d\uff08EVAR\uff09\u5f88\u5c11\u5e76\u53d1\u5185\u6f0f\uff0c\u4f46\u5982\u679c\u4e0d\u53ca\u65f6\u6cbb\u7597\uff0c\u4f1a\u589e\u52a0\u7834\u88c2\u7684\u98ce\u9669\u3002CTA\u901a\u5e38\u7528\u4e8e\u8bc4\u4f30\u5e76\u53d1\u75c7\uff0c\u5b83\u6bd4\u5f69\u8272\u591a\u666e\u52d2\u8d85\u58f0\u66f4\u4e3a\u654f\u611f\uff0c\u4f46\u4e5f\u66f4\u5177\u6709\u521b\u6027\u3002
\n<\/strong>\u95ee\u9898\uff1a<\/strong>\u53ef\u4ee5\u4f7f\u7528\u526a\u5207\u6ce2\u5f39\u6027\u6210\u50cf\uff08SWE\uff09\u6765\u8bc6\u522bEVAR\u540e\u7684\u5185\u6f0f\u5417\uff1f\u5b83\u4e0eCTA\u548c\u8d85\u58f0\u76f8\u6bd4\u5982\u4f55\uff1f
\n<\/strong>\u5730\u70b9\uff1a<\/strong>\u5355\u4e2d\u5fc3\uff1b\u8499\u7279\u5229\u5c14, \u52a0\u62ff\u5927
\n<\/strong>\u53c2\u4e0e\u8005\u548c\u5165\u7ec4\u6807\u51c6\uff1a<\/strong>28\u4f8b\u56e0AAA\u8fdb\u884cEVAR\u548c\u672f\u524dCTA\u7684\u60a3\u8005
\n<\/strong>\u8bbe\u8ba1\uff1a<\/strong>\u524d\u77bb\u6027\u8bbe\u8ba1\uff0c\u62db\u52df\u548c\u968f\u8bbfEVAR\u672f\u540e\u5e76\u8fdb\u884c\u4e86SWE\u3001CTA\u548c\u5f69\u8272\u591a\u666e\u52d2US\u68c0\u67e5\u7684\u60a3\u8005\u3002\u8fdb\u884c\u4e863\u5e74\u968f\u8bbf\u4ee5\u786e\u4fdd\u4e0d\u6f0f\u8bca\u5185\u6f0f\u6216\u5176\u4ed6\u5e76\u53d1\u75c7\u30022\u540d\u4e0d\u77e5\u9053CTA\u548c\u8d85\u58f0\u7ed3\u679c\u7684\u653e\u5c04\u79d1\u533b\u5e08\u8bc4\u4f30SWE\u7ed3\u679c\u4ee5\u53d1\u73b0\u5185\u6f0f\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>7\uff0825\uff05\uff09\u4f8b\u60a3\u8005\u7ecf\u75312\u540d\u653e\u5c04\u79d1\u533b\u5e08\u8bca\u65ad\u4e3a\u5185\u6f0f\uff0c\u5f39\u6027\u6210\u50cf\u8868\u73b0\u51fa100\uff05\u7684\u7279\u5f02\u6027\u548c67\uff05\u7684\u654f\u611f\u6027\u3002\u5f69\u8272\u591a\u666e\u52d2\u7684\u654f\u611f\u6027\u7ea6\u4e3a43\uff05\u3002\u5185\u6f0f\u4e5f\u80fd\u4e0e\u52a8\u8109\u7624\u56ca\u6027\u8840\u6813\u533a\u522b\uff08P<0.001\uff09\u3002<\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u526a\u5207\u6ce2\u5f39\u6027\u6210\u50cf\uff0c\u7279\u522b\u662f\u4e0e\u5176\u4ed6\u8d85\u58f0\u7279\u5f81\u7ed3\u5408\u65f6\uff0c\u5bf9\u68c0\u51faEVAR\u672f\u540e\u5185\u6f0f\u6709\u5e94\u7528\u524d\u666f\u3002<\/p>\n

 <\/p>\n

\u808c\u8089\u9aa8\u9abc\u5f71\u50cf<\/strong><\/span><\/h3>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76
\n<\/u><\/em><\/strong>\u4f7f\u7528\u526a\u5207\u6ce2\u5f39\u6027\u6210\u50cf\u8bc4\u4f30\u8870\u8001\u5bf9\u9aa8\u9abc\u808c\u5f39\u6027\u7684\u5f71\u54cd<\/strong>
\n<\/strong><\/span>\u015eendur HN, Cindil E, Cerit MN, K\u0131l\u0131\u00e7 P, G\u00fcltekin I\u0130, Oktar S\u00d6. Evaluation of effects of aging on skeletal muscle elasticity using shear wave elastography. Eur J Radiol. 2020;128:109038.
\nhttps:\/\/doi.org\/10.1016\/j.ejrad.2020.109038<\/a><\/h5>\n

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\n<\/strong>\u95ee\u9898\uff1a<\/strong>\u7528\u526a\u5207\u6ce2\u5f39\u6027\u6210\u50cf\uff08SWE\uff09\u6d4b\u91cf\u65f6\uff0c\u9aa8\u9abc\u808c\u786c\u5ea6\u968f\u5e74\u9f84\u7684\u53d8\u5316\u662f\u600e\u6837\u7684\uff1f
\n<\/strong>\u5730\u70b9\uff1a\u5355\u4e2d\u5fc3\uff1bGazi\u5927\u5b66, \u5b89\u5361\u62c9, \u571f\u8033\u5176.<\/p>\n

\u53c2\u4e0e\u8005\u548c\u5165\u7ec4\u6807\u51c6\uff1a<\/strong>57\u4f8b\u5e74\u9f84\u4e3a18-74\u5c81\uff08\u5e73\u5747\u5e74\u9f8441\u5c81\uff09\u7684\u5065\u5eb7\u5fd7\u613f\u8005
\n<\/strong>\u8bbe\u8ba1\uff1a<\/strong>\u524d\u77bb\u6027\u8bbe\u8ba1\uff0c\u4e00\u4f4d\u6709\u4e30\u5bccSWE\u7ecf\u9a8c\u7684\u653e\u5c04\u79d1\u533b\u5e08\u6d4b\u91cf\u5728\u653e\u677e\u548c\u6536\u7f29\u72b6\u6001\u4e0b\u8153\u80a0\u808c\u5185\u4fa7\u5934\u808c\u8089\u7684\u786c\u5ea6\u3002\u8fd8\u6d4b\u91cf\u808c\u8089\u539a\u5ea6\u5e76\u8ba1\u7b97\u786c\u5ea6\u589e\u52a0\u7387\uff08SIR\uff09[(S\u6536\u7f29<\/sub>-S\u653e\u677e<\/sub>)\/S\u6536\u7f29<\/sub>]\u3002\u5165\u7ec4\u8005\u88ab\u5206\u4e3a\u4e09\u4e2a\u5e74\u9f84\u7ec4\u8fdb\u884c\u5206\u6790\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>\u5728\u677e\u5f1b\u72b6\u6001\uff08\u5e73\u574712.51\uff09\u548c\u6536\u7f29\u72b6\u6001\uff08\u5e73\u574781.74\uff09\u4e0b\u7684\u786c\u5ea6\u503c\u4e0e\u5e74\u9f84\u6210\u53cd\u6bd4\uff08r\u8303\u56f4\uff1a-0.703\u81f3-0.590\uff09\u3002\u4e0d\u540c\u5e74\u9f84\u7ec4\u4e4b\u95f4\u7684\u539a\u5ea6\u548c\u786c\u5ea6\u503c\u4e5f\u5b58\u5728\u660e\u663e\u5dee\u5f02\u3002SIR\u5e73\u5747\u503c\u4e3a5.62\uff0c\u4f46\u5728\u4e0d\u540c\u5e74\u9f84\u7ec4\u4e4b\u95f4\u65e0\u660e\u663e\u5dee\u5f02\u3002<\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u9aa8\u9abc\u808c\u786c\u5ea6\u968f\u5e74\u9f84\u9012\u51cf\uff0c\u4f46SIR\u4fdd\u6301\u4e0d\u53d8\u3002<\/p>\n

 <\/p>\n

 <\/p>\n

\u5e38\u89c1\u7f29\u7565\u8bcd\uff1a<\/p>\n

*US: Ultrasound \u8d85\u58f0
\n*CEUS: Contrast Enhanced Ultrasound \u8d85\u58f0\u9020\u5f71
\n*SWE: Shear-Wave Elastography \u526a\u5207\u6ce2\u5f39\u6027\u6210\u50cf
\n*HCC: Hepatocellular Carcinoma \u809d\u7ec6\u80de\u764c
\n*HCA: Hepatocellular Adenoma \u809d\u7ec6\u80de\u817a\u7624<\/p>\n","protected":false},"excerpt":{"rendered":"  \u8179\u90e8\u5f71\u50cf &nb […]","protected":false},"author":4,"featured_media":3516,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[213],"tags":[],"class_list":["post-3515","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-213"],"yoast_head":"\n\u8d85\u58f0\u68c0\u67e5\u7684\u65b0\u52a8\u6001\u662f\u4ec0\u4e48\uff1f - ACORE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-ultrasound-july-2020-4\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u8d85\u58f0\u68c0\u67e5\u7684\u65b0\u52a8\u6001\u662f\u4ec0\u4e48\uff1f - 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