[1]郭艺旋,张文欣,张含祺,等.剪切波弹性成像在单侧腰椎间盘突出患者坐骨神经评价中的应用[J].医学信息官方网站,2022,35(15):144-147.[doi:10.3969/j.issn.1006-1959.2022.15.034]
　GUO Yi-xuan,ZHANG Wen-xin,ZHANG Han-qi,et al.Application of Shear Wave Elastography in the Evaluation of Sciatic Nerve of Unilateral Lumbar Disc Herniation[J].Medical Information,2022,35(15):144-147.[doi:10.3969/j.issn.1006-1959.2022.15.034]
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剪切波弹性成像在单侧腰椎间盘突出患者坐骨神经评价中的应用()
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《医学信息》官方网站[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年15期
页码:
144-147
栏目:
诊疗技术
出版日期:
2022-08-01

文章信息/Info

Title:
Application of Shear Wave Elastography in the Evaluation of Sciatic Nerve of Unilateral Lumbar Disc Herniation
文章编号:
1006-1959（2022）15-0144-04
作者:
郭艺旋; 张文欣; 张含祺; 等
（安徽医科大学第一附属医院超声科，安徽 合肥 230022）
Author(s):
GUO Yi-xuan; ZHANG Wen-xin; ZHANG Han-qi; et al.
(Department of Ultrasound,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China)
关键词:
坐骨神经; 剪切波弹性成像; 腰椎间盘突出
Keywords:
Sciatic nerve; Shear wave elastography; Lumbar disc herniation
分类号:
R681.5+3
DOI:
10.3969/j.issn.1006-1959.2022.15.034
文献标志码:
A
摘要:
目的 探讨剪切波弹性成像（SWE）评价单侧腰椎间盘突出（LDH）患者坐骨神经改变的价值。方法 选取2019年10月-2021年3月我院就诊的60例经临床和磁共振成像（MRI）诊断为单侧LDH的患者为LDH组，30例健康受试者为对照组，测量两组受试者坐骨神经的杨氏模量均值（Emean）及横截面积（CSA），并比较各参数的差异。绘制ROC曲线，分析各参数对LDH的诊断效能。结果 LDH组患侧坐骨神经的CSA值和Emean高于对侧及对照组，差异有统计学意义（P＜0.05）；ROC曲线分析显示，CSA诊断LDH受压患侧坐骨神经的截断值为54.83 mm2，敏感性为71.70%，特异性为63.30%。Emean诊断LDH患侧坐骨神经的截断值为14.42 kPa，敏感性为95.00%，特异性为96.70%。结论 单侧LDH患者患侧坐骨神经的CSA和硬度增加，Emean较CSA的诊断价值更高，SWE可作为评价单侧LDH患者患侧坐骨神经的一种辅助诊断方法。
Abstract:
Objective To explore the value of shear wave elastography (SWE) in evaluating the changes of sciatic nerve in patients with unilateral lumbar disc herniation (LDH).Methods Sixty patients with unilateral LDH diagnosed by clinical and magnetic resonance imaging (MRI) received medical treatment,of our hospital were selected as LDH group from October 2019 to March 2021, and 30 healthy subjects were selected as control group. The mean Young’s modulus (Emean) and cross-sectional area (CSA) of the sciatic nerve of the two groups were measured, and the differences of each parameter were compared. ROC curve was plotted to analyze the diagnostic efficacy of each parameter on LDH.Results The CSA value and Emean of the affected sciatic nerve in the LDH group were significantly higher than those of the unaffected side and control group (P<0.05). ROC curve analysis showed that the cut-off value of CSA for diagnosing the affected sciatic nerve of LDH was 54.83 mm2 with the sensitivity of 71.70% and specificity of 63.30%; the cut-off value of Emean for diagnosis of the affected sciatic nerve was 14.42 kPa with the sensitivity of 95.00% and specificity of 96.70%.Conclusion CSA and hardness of ipsilateral sciatic nerve in patients with unilateral LDH are increased, and Emean is more valuable than CSA. SWE can be used as an auxiliary diagnostic method for evaluating the ipsilateral sciatic nerve in patients with unilateral LDH.

参考文献/References:

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更新日期/Last Update: 1900-01-01