Mould Andrea, Abbott Steven, Welman Christopher J
Department of Medical Imaging Fiona Stanley Hospital Murdoch WA 6150 Australia.
Australas J Ultrasound Med. 2019 Nov 5;23(2):149-155. doi: 10.1002/ajum.12185. eCollection 2020 May.
HELLP syndrome is a rare, potentially life threatening obstetric condition that is diagnosed by the combination of Haemolysis, Elevated Liver enzyme levels, and Low Platelets (, 1, 164, 2011). HELLP affects between 0.5% and 0.9% of all pregnancies (, 9, 8, 2009), however less than 0.5% of HELLP syndrome cases demonstrate any imaging abnormalities ( 185, 1205, 2005). This case report outlines the use of three new liver ultrasound technologies - shear wave elastography (SWE), shear wave dispersion (SWD) and attenuation imaging (ATI) in the evaluation of a patient with HELLP syndrome. The ultrasound applications were used to examine temporal changes of the disease with corresponding biochemical variations. The SWE and SWD values correlated with B mode ultrasound imaging and the clinical findings of HELLP.
HELLP综合征是一种罕见的、可能危及生命的产科疾病，通过溶血、肝酶水平升高和血小板减少三联征进行诊断（，1, 164, 2011）。HELLP影响所有妊娠的0.5%至0.9%（，9, 8, 2009），然而，不到0.5%的HELLP综合征病例显示有任何影像学异常（185, 1205, 2005）。本病例报告概述了三种新的肝脏超声技术——剪切波弹性成像（SWE）、剪切波频散（SWD）和衰减成像（ATI）在评估一名HELLP综合征患者中的应用。这些超声应用用于检查疾病的时间变化及相应的生化变化。SWE和SWD值与B型超声成像及HELLP的临床发现相关。
