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三级医院健康志愿者的瞬时弹性成像值

Transient Elastographic Values of Healthy Volunteers in a Tertiary care Hospital.

作者信息

Basnet Bhupendra Kumar, Kc Sudhamshu, Sharma Dilip, Shrestha Dinesh

机构信息

Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2014 Jan-Mar;52(193):661-7.

Abstract

INTRODUCTION

Transient elastography is a very promising noninvasive procedure to determine liver stiffness for diagnosis of fibrosis in various chronic liver diseases. However, studies on normal values of liver stiffness in apparently healthy subjects are still few. We aimed to determine liver stiffness values in healthy Nepalese volunteers.

METHODS

Transient elastography (Fibro ScanR, Echosens, Paris, France) was performed to find out liver stiffness values in 45 apparently healthy volunteers after explaining study protocol. Complete medical examination with routine laboratory tests was performed. Subjects with normal liver biochemistries and normal liver ultrasonography were taken for analysis.

RESULTS

Mean liver stiffness value of study subjects was 4.24 ± 0.70 kPa. Liver stiffness value was found higher in males than in females (4.32±0.74 vs 4.07±0.61 kPa, respectively, P =0.26) but not statistically significant. Similarly, comparison between age and liver stiffness also showed positive correlation( r = 0.211) but not statistically significant( P = 0.164) CONCLUSIONS: Our study showed that the mean liver stiffness value was 4.24 ± 0.70 kPa in our population and influence of age, gender and body mass index were not significant.

摘要

引言

瞬时弹性成像术是一种非常有前景的非侵入性检查方法,可用于测定肝脏硬度,以诊断各种慢性肝病中的纤维化。然而,关于表面健康受试者肝脏硬度正常值的研究仍然较少。我们旨在确定健康尼泊尔志愿者的肝脏硬度值。

方法

在向45名表面健康的志愿者解释研究方案后,使用瞬时弹性成像术(Fibro ScanR,Echosens,法国巴黎)测定其肝脏硬度值。对这些志愿者进行了包括常规实验室检查在内的全面医学检查。选取肝脏生化指标和肝脏超声检查均正常的受试者进行分析。

结果

研究对象的平均肝脏硬度值为4.24±0.70千帕。发现男性的肝脏硬度值高于女性(分别为4.32±0.74和4.07±0.61千帕,P = 0.26),但无统计学意义。同样,年龄与肝脏硬度之间的比较也显示出正相关(r = 0.211),但无统计学意义(P = 0.164)。结论:我们的研究表明,在我们的研究人群中,平均肝脏硬度值为4.24±0.70千帕,年龄、性别和体重指数的影响不显著。

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