三维超声VOCAL技术定量肾积水与患肾容积比值评价儿童肾积水患肾功能应用研究.docVIP

三维超声VOCAL技术定量肾积水与患肾容积比值评价儿童肾积水患肾功能的应用研究 　　【摘要】 目的：探讨三维超声体积自动测量（VOCAL）技术和三维肾积水容积/肾脏容积比在定量评价儿童肾积水及患肾功能中的应用价值。方法：采用三维超声VOCAL技术及虚拟器官计算机辅助定量分析方法，检测99例3个月～14岁单侧肾积水患儿的肾积水容积、健侧肾脏及患侧肾脏容积，得出肾积水与患侧肾脏容积比，分析健侧及患侧肾脏容积变化与肾脏长径和体表面积的相关性，分析肾积水与患侧肾脏容积比值和肾积水病情程度的匹配度及相关性。结果：随着体表面积的增长，健肾及患肾的长径和体积均呈逐渐增加的趋势，其与体表面积均呈线性正相关（r0.8），患侧肾脏三维体积及长径均较健侧肾脏增大，差异均有统计学意义（P0.001），随着肾积水程度的增加，肾积水占肾脏体积的比值逐渐增大，分布区间的离散性越大，各级肾积水组间的肾积水（HV）/患肾体积（KV）比较差异均有统计学意义（P0.001）。结论：三维超声VOCAL技术和三维肾积水与肾脏容积比作为一种新的量化指标，具有良好的可行性和重复性，可用于评估和预测肾脏功能、病情转归，对患儿临床病情的监测和远期随访管理有积极意义。 　　【关键词】 肾积水； 三维超声； 肾脏容积； 自动测量技?g； 容积比 　　Diagnosis Value of Three-dimensional Ultrasound Virtual Organ Computer-aided Analysis Technique Measured Hydronephrosis Volume and Kidney Volume Ratio to Evaluate Renal Function of Children with Hydronephrosis/ZHOU Wei，LI Ling-shan.//Medical Innovation of China，2017，14（14）：054-058 　　【Abstract】 Objective：To investigate the value of three-dimensional ultrasound virtual organ computer-aided analysis（VOCAL） technique measured hydronephrosis volume and kidney volume ratio to evaluate renal function of children with hydronephrosis.Method：99 children from 3 months to 14 years old with unilateral hydronephrosis were selected and examinated by the three-dimensional ultrasound to obtain the hydronephrosis volume（HV），kidney volume（KV）and HV/KV volume ratio.The relationship between the major axis and volume of both side of the kidney and body surface area（BSA）were analyzed，further concluded the correlation between HV/KV ratio and the degree of hydronephrosis.Result：Kidney volume and kidney major axis were gradually increased with the increase of BSA，which was positively correlated（r0.8）.Three-dimensional kidney volume and major axis of the hydronephrosis were significantly higher than those of the normal kidney（P0.001）.With the deteriorate of hydronephrosis degree，HV/KV ratio were increased，and distribution interval of HV/KV ratio widened.Conclusion：HV/KV value provided by three-dimensional ultrasound with VOCAL technique can