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三维对比增强超声联合增强现实医疗技术诊断慢性肾脏病。

Diagnosis of Chronic Kidney Disease by Three-Dimensional Contrast-Enhanced Ultrasound Combined with Augmented Reality Medical Technology.

机构信息

Department of Nephrology, Linyi Central Hospital, Linyi 276400, Shandong, China.

Hemodialysis of Linyi Central Hospital, Linyi 276400, Shandong, China.

出版信息

J Healthc Eng. 2021 Mar 16;2021:5542822. doi: 10.1155/2021/5542822. eCollection 2021.

Abstract

Chronic kidney disease is a worldwide clinical and public health problem. As a risk factor for cardiovascular and cerebrovascular diseases, the disease has gradually become one of the causes of morbidity and death. As a routine method of screening for kidney disease, ultrasound is very important in improving the rate of early detection and accuracy of chronic kidney disease. This article explores the value of applying 3D ultrasound in conjunction with augmented reality medical technology in chronic kidney disease, observing changes in kidney tumor at different stages with percutaneous 3D ultrasound in patients with chronic kidney disease. Volunteers with chronic kidney disease were selected for this experiment. Among them, 160 males and 140 females were diagnosed as chronic kidney disease by clinical or renal pathological biopsy, and they all met the K/DOQI diagnostic criteria for chronic kidney disease. The selected subjects met the criteria and were divided into 5 groups, each with 60 patients, to explore the correlation of properties such as three-dimensional ultrasound kidney volume in different stages of chronic kidney disease. Experiments have shown that, with the increase in the stages of chronic kidney disease, the elasticity and volume of the renal parenchyma decrease, and the resistance index of the renal artery becomes larger, < 0.05; the difference is statistically significant, indicating that the elasticity of the renal parenchyma is associated with chronic kidney disease. The stage is negatively correlated, and the resistance index of the renal artery is positively correlated with the stage of chronic kidney disease. That is, as the stage of chronic kidney disease increases, the three-dimensional volume of the kidney shows a decreasing trend and the resistance index of the renal artery shows an increasing trend. Speed shows a declining trend and there is some correlation between the three.

摘要

慢性肾脏病是一个全球性的临床和公共卫生问题。作为心脑血管疾病的危险因素,该疾病逐渐成为发病率和死亡率的原因之一。作为一种筛查肾脏疾病的常规方法,超声在提高慢性肾脏病的早期检测率和准确性方面非常重要。本文探讨了将 3D 超声与增强现实医疗技术结合应用于慢性肾脏病的价值,观察经皮 3D 超声在慢性肾脏病患者中不同阶段肾肿瘤的变化。本实验选择慢性肾脏病患者,其中经临床或肾脏病理活检诊断为慢性肾脏病的男性 160 例,女性 140 例,均符合 K/DOQI 慢性肾脏病诊断标准。入选对象符合标准,分为 5 组,每组 60 例,探讨不同分期慢性肾脏病三维超声肾体积等特性的相关性。实验表明,随着慢性肾脏病分期的增加,肾实质的弹性和体积减小,肾动脉阻力指数增大,<0.05;差异有统计学意义,表明肾实质的弹性与慢性肾脏病分期呈负相关,肾动脉阻力指数与慢性肾脏病分期呈正相关。即随着慢性肾脏病分期的增加,肾脏的三维体积呈下降趋势,肾动脉阻力指数呈上升趋势。速度呈下降趋势,三者之间存在一定的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a7/7994090/ec54ac5065a6/JHE2021-5542822.001.jpg

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