УЛЬТРАЗВУКОВАЯ ЭЛАСТОМЕТРИЯ У ПАЦИЕНТОВ С ОСТРЫМ ПАНКРЕАТИТОМ И САХАРНЫМ ДИАБЕТОМ (ОРИГИНАЛЬНАЯ СТАТЬЯ)
Ключевые слова:
эластометрия сдвиговой волной, ультразвуковое исследование, поджелудочная железа, острый панкреатит, сахарный диабет
Аннотация
Ультразвуковое исследование позволяет быстро и адекватно оценить состояние поджелудочной железы. Для ультразвуковой характеристики морфологических изменений паренхимы поджелудочной железы используют два параметра: общую эхогенность и характер распределения отражённых эхосигналов. Известно, что повышение эхогенности паренхимы поджелудочной железы и появление неравномерности распределения отраженных эхосигналов, имеющих диффузный характер распределения, могут характеризовать возрастные изменения, а так же быть проявлением заболевания. Два наиболее часто встречаемые заболевания поджелудочной железы, характеризующиеся идентичными диффузными изменениями структуры паренхимы являются острый панкреатит и сахарный диабет. Однако измеренные показатели жесткости у пациентов с сахарным диабетом и острым панкреатитом имеют различные значения и составляют 5.1+1.7 кПа и 9.1+4.1кПа соответственно. Различия уровня признака в сравниваемых группах, рассчитанных по U-критерию Манна-Уитни статистически значимые (р< 0,05).
Литература
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3. Diagnosis and treatment of acute pancreatitis: monograph / AS Ermolov et al. /. - Moscow: Vidar-M, 2013. - 384 p [Ermolov A.S. , Ivanov P.A., Blagovestnov D.A., Grishin A.V., Andreev V.G. Diagnosis and treatment of acute pancreatitis]
4. Zubarev A.V., N.P. Agafonov, I.V. Kalenov. Ultrasound monitoring of acute pancreatitis treatment // Medical imaging; 2000: 21-24 [A.V. Zubarev, N.P. Agafonov, and I.V. Kalenova Follow up Ultrasonography in Treatment of Acute Pancreatitis]
5. Zubarev A.V. Diagnostic ultrasound: a guide for doctors / ed. A.V. Zubareva - Moscow: Realnoe Vremya, 1999 .-- 176 p. 6. Ministry of Health of the Russian Federation National clinical guidelines. Acute pancreatitis. Approved year: 2015 (revised every 5 years) ID: КР326 https://www.mrckb.ru/files/ostryj_pankreatit.PDF
7. Filin, V. I. Emergency pancreatology [Text]: a guide for doctors / V. I. Filin, A. L. Kostyuchenko. - St. Petersburg: Peter, 1994.-416 s. - (Series of Practical Medicine) [Filin, V. I., A. L. Kostyuchenko Emergency pancreatology: a guide for doctors]
8. Arda K, Ciledag N, Aribas B, et.al. Quantitative assessment of the elasticity values of liver with shear wave ultrasonographic elastography. Indian J Med Res. 2013; 137: 911-915
9. Arda K, Ciledag N, Aktas E, et.al. Quantitative assessment of normal soft-tissue elasticity using shearwave ultrasound elastography. AJR Am J Roentgenol. 2011; 197 (3): 532-536 doi: 10.2214 / AJR.10.5449 10. Bamber J, Cosgrove D, Dietrich C, et.al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med. 2013; 34 (2): 169-184 https://doi.org/10.1055 / s-0033-1335205
11. Bota S, Bob F, Sporea I, et.al. Factors that influence kidney shear wave speed assessed by acoustic radiation force impulse elastography in patients without kidney pathology. Ultrasound Med Biol. 2015; 41: 1–6 doi: 10.1016 / j.ultrasmedbio.2014.07.023
12. Bruno C, Minniti S, Bucci A, et.al. ARFI: from basic principles to clinical applications in diffuse chronic disease-a review. Insights Imaging. 2016; 7:735-746 https://doi.org/10.1007 / s13244-016-0514-5
13. Catalano M, Sahai A, Levy M, et.al. EUSbased criteria for the diagnosis of chronic pancreatitis: the Rosemont classification. Gastrointest Endosc. 2009; 69: 1251-1261 https://doi.org/10.1016 / j.gie.2008.07.043 14. Dietrich C, Bamber J, Berzigotti A, et.al. EFSUMB Guidelines and Recommendations on the Clinical Use of Liver Ultrasound Elastography, Update 2017 (Long Version) Ultraschall Med. 2017; 38: e48 https://doi.org/10.1055 / s-0043-103952
15. D'Onofrio M, De Robertis R, Crosara S, et.al. Mucelli R. Acoustic radiation force impulse with shear wave speed quantification of pancreatic masses: A prospective study Pancreatology 2016; 16 (1): 106-9. https://doi.org/10.1016 / j.pan.2015.12.003
16. Itoh Y, Itoh A, Kawashima H, et.al. Quantitative analysis of diagnosing pancreatic fibrosis using EUS-elastography (comparison with surgical specimens). J Gastroenterol. 2014; 49: 1183-1192 https://doi.org/10.1007/s00535-013-0880-4
17. Gao L, Parker K, Lerner R, et.al. Imaging of the elastic properties of tissue-a review. Ultrasound Med Biol. 1996; 22: 959-977 doi: 10.1016 / s0301-5629 (96) 00120-2
18. Ferraioli G, Filice C, Castera L, et.al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 3: liver. Ultrasound med
Biol. 2015; 41 (5): 1161-1179 https://doi.org/10.1016 / J.ultrasmedbio.2015.03.007 19. Friedrich-Rust M, Poynard T, Castera L. Critical comparison of elastography methods to assess chronic liver disease. Nat Rev Gastroenterol Hepatol. 2016; 13 (7): 402-411 https://doi.org/10.1038 / nrgastro.2016.86.
20. Kawada N. Elastography for the pancreas: Current status and future perspective. World J
Gastroenterol. 2016; 22: 3712-3724 https://doi.org/10.3748 / wjg.v22.i14.3712
2. Dedov I.I., Shestakova M.V., Vikulova O.K. et al. Diabetes mellitus in the Russian Federation: prevalence, morbidity, mortality, parameters of carbohydrate metabolism and the structure of hypoglycemic therapy according to the Federal Register of Diabetes Mellitus, status 2017 // Diabetes. - 2018. - No. 21 (3). - pp. 144-159 doi: 10.14341 / DM9686 [Dedov Ivan I, Marina V. Shestakova Marina V, Olga K Vikulova Olga K. Et.al. Diabetes mellitus in russian federation: prevalence, morbidity, mortality, parameters of glycaemic control and structure of glucose lowering therapy according to the federal diabetes register, status 2017]
3. Diagnosis and treatment of acute pancreatitis: monograph / AS Ermolov et al. /. - Moscow: Vidar-M, 2013. - 384 p [Ermolov A.S. , Ivanov P.A., Blagovestnov D.A., Grishin A.V., Andreev V.G. Diagnosis and treatment of acute pancreatitis]
4. Zubarev A.V., N.P. Agafonov, I.V. Kalenov. Ultrasound monitoring of acute pancreatitis treatment // Medical imaging; 2000: 21-24 [A.V. Zubarev, N.P. Agafonov, and I.V. Kalenova Follow up Ultrasonography in Treatment of Acute Pancreatitis]
5. Zubarev A.V. Diagnostic ultrasound: a guide for doctors / ed. A.V. Zubareva - Moscow: Realnoe Vremya, 1999 .-- 176 p. 6. Ministry of Health of the Russian Federation National clinical guidelines. Acute pancreatitis. Approved year: 2015 (revised every 5 years) ID: КР326 https://www.mrckb.ru/files/ostryj_pankreatit.PDF
7. Filin, V. I. Emergency pancreatology [Text]: a guide for doctors / V. I. Filin, A. L. Kostyuchenko. - St. Petersburg: Peter, 1994.-416 s. - (Series of Practical Medicine) [Filin, V. I., A. L. Kostyuchenko Emergency pancreatology: a guide for doctors]
8. Arda K, Ciledag N, Aribas B, et.al. Quantitative assessment of the elasticity values of liver with shear wave ultrasonographic elastography. Indian J Med Res. 2013; 137: 911-915
9. Arda K, Ciledag N, Aktas E, et.al. Quantitative assessment of normal soft-tissue elasticity using shearwave ultrasound elastography. AJR Am J Roentgenol. 2011; 197 (3): 532-536 doi: 10.2214 / AJR.10.5449 10. Bamber J, Cosgrove D, Dietrich C, et.al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall Med. 2013; 34 (2): 169-184 https://doi.org/10.1055 / s-0033-1335205
11. Bota S, Bob F, Sporea I, et.al. Factors that influence kidney shear wave speed assessed by acoustic radiation force impulse elastography in patients without kidney pathology. Ultrasound Med Biol. 2015; 41: 1–6 doi: 10.1016 / j.ultrasmedbio.2014.07.023
12. Bruno C, Minniti S, Bucci A, et.al. ARFI: from basic principles to clinical applications in diffuse chronic disease-a review. Insights Imaging. 2016; 7:735-746 https://doi.org/10.1007 / s13244-016-0514-5
13. Catalano M, Sahai A, Levy M, et.al. EUSbased criteria for the diagnosis of chronic pancreatitis: the Rosemont classification. Gastrointest Endosc. 2009; 69: 1251-1261 https://doi.org/10.1016 / j.gie.2008.07.043 14. Dietrich C, Bamber J, Berzigotti A, et.al. EFSUMB Guidelines and Recommendations on the Clinical Use of Liver Ultrasound Elastography, Update 2017 (Long Version) Ultraschall Med. 2017; 38: e48 https://doi.org/10.1055 / s-0043-103952
15. D'Onofrio M, De Robertis R, Crosara S, et.al. Mucelli R. Acoustic radiation force impulse with shear wave speed quantification of pancreatic masses: A prospective study Pancreatology 2016; 16 (1): 106-9. https://doi.org/10.1016 / j.pan.2015.12.003
16. Itoh Y, Itoh A, Kawashima H, et.al. Quantitative analysis of diagnosing pancreatic fibrosis using EUS-elastography (comparison with surgical specimens). J Gastroenterol. 2014; 49: 1183-1192 https://doi.org/10.1007/s00535-013-0880-4
17. Gao L, Parker K, Lerner R, et.al. Imaging of the elastic properties of tissue-a review. Ultrasound Med Biol. 1996; 22: 959-977 doi: 10.1016 / s0301-5629 (96) 00120-2
18. Ferraioli G, Filice C, Castera L, et.al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 3: liver. Ultrasound med
Biol. 2015; 41 (5): 1161-1179 https://doi.org/10.1016 / J.ultrasmedbio.2015.03.007 19. Friedrich-Rust M, Poynard T, Castera L. Critical comparison of elastography methods to assess chronic liver disease. Nat Rev Gastroenterol Hepatol. 2016; 13 (7): 402-411 https://doi.org/10.1038 / nrgastro.2016.86.
20. Kawada N. Elastography for the pancreas: Current status and future perspective. World J
Gastroenterol. 2016; 22: 3712-3724 https://doi.org/10.3748 / wjg.v22.i14.3712
Опубликован
2021-04-15
Как цитировать
Кабаненко T., Хомутова E., и Ю. Игнатьев. 2021. «УЛЬТРАЗВУКОВАЯ ЭЛАСТОМЕТРИЯ У ПАЦИЕНТОВ С ОСТРЫМ ПАНКРЕАТИТОМ И САХАРНЫМ ДИАБЕТОМ (ОРИГИНАЛЬНАЯ СТАТЬЯ) ». EurasianUnionScientists 2 (3(84), 40-44. https://doi.org/10.31618/ESU.2413-9335.2021.2.84.1273.
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