膀胱剪切波弹性成像能否替代尿动力学检查，成为检测神经源性膀胱的一种方法？
Can bladder shear wave elastography be an alternative method for detection of neurogenic bladder instead of urodynamic study?
作者信息
Sarkarian Mohsen, Arjomandi Amirnezam, Musapour Ismail, Hanafi Mohammad Qassem
机构信息
Department of Urology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Radiology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
J Family Med Prim Care. 2020 Feb 28;9(2):921-924. doi: 10.4103/jfmpc.jfmpc_810_19. eCollection 2020 Feb.
BACKGROUND
In the normal physiology of the bladder wall, it has sufficient elasticity so that it can maintain normal pressure during filling phase of bladder. Bladder functional pathology can cause many problems for patients.
METHOD
This evaluation is a cross-sectional study conducted on patients suspected of neurogenic bladder. In this study, patient refered for urodynamic testing at first, urodynamic test performed by urologist and then Shear wave elastography was performed by radiologist. Data such as age, sex, height, and weight, and other demographic data were also evaluated. Patients were informed before and after the urodynamic and Shear wave sonography tests. Finally, the data were entered into SPSS software and were statistically analyzed.
RESULTS
We observed that the mean and standard deviation of the age was 15.7 ± 6.2 years. Also found that in gender 19 (63.3%) patients were males and 11 (36.7%) were female. On the other hand, in terms of BMI, most patients were normal in this regard (50%), as well as in other cases, including weight loss in 3 (10%) patients, overweight in 8 (26.6%) patients, and obese were in 4 patients (13.3%). in our assessment about the efficacy of the ultrasound elastography approach to the anterior wall, which showed that the specificity of the test in the diagnosis of neurogenic bladder was 83% and this is statistically significant in patients ( < 0.05). We also observed in the posterior wall posture that the specificity of this test was 85% in the diagnosis of neurogenic bladder, which indicates a high diagnostic capability of this test, and this is statistically significant in patients ( < 0.05).
CONCLUSION
Based on the results observed in this evaluation, ultrasound elastography has a high specificity for neurogenic bladder detection in comparison with urodynamic study. Accordingly, due to the less invasive nature of this method than urodynamic study, this method can be used to identify patients with neurogenic bladder.
背景
在膀胱壁的正常生理状态下，它具有足够的弹性，以便在膀胱充盈期能够维持正常压力。膀胱功能病理状态会给患者带来诸多问题。
方法
本评估是一项针对疑似神经源性膀胱患者的横断面研究。在本研究中，患者首先被转诊进行尿动力学检测，由泌尿科医生进行尿动力学检测，然后由放射科医生进行剪切波弹性成像检查。年龄、性别、身高、体重等数据以及其他人口统计学数据也被评估。在尿动力学和剪切波超声检查前后告知患者相关情况。最后，将数据录入SPSS软件并进行统计分析。
结果
我们观察到年龄的均值和标准差为15.7±6.2岁。还发现，在性别方面，19名（63.3%）患者为男性，11名（36.7%）为女性。另一方面，就体重指数而言，大多数患者在这方面正常（50%），在其他情况中，包括3名（10%）患者体重减轻，8名（26.6%）患者超重，4名（13.3%）患者肥胖。在我们对超声弹性成像法对前壁的评估中显示，该检查在神经源性膀胱诊断中的特异性为83%，这在患者中具有统计学意义（<0.05）。我们还观察到在后壁体位时，该检查在神经源性膀胱诊断中的特异性为85%，这表明该检查具有较高的诊断能力，且在患者中具有统计学意义（<0.05）。
结论
基于本评估中观察到的结果，与尿动力学研究相比，超声弹性成像在神经源性膀胱检测方面具有较高的特异性。因此，由于该方法比尿动力学研究的侵入性小，该方法可用于识别神经源性膀胱患者。
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