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西安高新医院超声科
纸质出版日期:2021,
网络出版日期:2021-12-31,
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南格利, 阮欣宇, 刘洁, 等. 超声造影定量评估在大鼠肝缺血再灌注损伤动态评估中的实验研究[J]. 临床超声医学杂志, 2021,23(12).
Experimental Study on Quantitative Evaluation of Contrast-enhanced Ultrasound in Dynamic Evaluation of Hepatic Ischemia-reperfusion Injury in Mice[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(12).
目的:探讨超声造影定量评估在大鼠肝缺血再灌注损伤(HIRI)动态评估的可行性
观察大鼠HIRI不同再灌注时间超声造影各参数的变化。方法:取SD大鼠49只
随机分为假手术组和HIRI后0.5h、3h、6h、12h、24h、48h组
共7组。建立大鼠HIRI模型
应用超声造影观察各组肝灌注情况
随后使用后处理软件获得峰值强度(PI)、曲线下面积(AUC)、达峰时间(TP)、平均渡越时间(MTT)等参数
并观察其变化情况。取其下腔静脉血检测各样本中谷丙转氨酶(ALT)和天冬氨酸转氨酶(AST)水平。处死大鼠
取其肝组织行病理组织学检查。采用Pearson相关分析超声造影各参数与血清ALT、AST水平的相关性。结果:HIRI 0.5h、3h、6h、12h、24h、48h组PI、AUC水平均低于假手术组
TP、MTT水平均高于假手术组(P<0.05)。HIRI 0.5h、3h、6h、12h、24h、48h组ALT、AST水平均高于假手术组(P<0.05)。Pearson相关分析显示
AUC水平与血清ALT、AST水平之间均呈负相关(r=-0.754
r=-0.808
P<0.001)。TP水平与血清ALT、AST水平之间均呈正相关(r=0.731
r=0.709
P<0.001)。MTT水平与血清AST水平之间呈正相关(r=0.718
P<0.001)。结论:超声造影定量分析各参数能够实时准确评估大鼠HIRI微循环的变化来反映其病理变化过程
对HIRI的病情评估具有重要意义。其中AUC是超声造影各参数中评估HIRI的最好指标。
Objective: To investigate the feasibility of contrast-enhanced ultrasound quantitative assessment in the dynamic assessment of hepatic ischemia-reperfusion injury (HIRI) in mice
and to observe the changes of various parameters of contrast-enhanced ultrasound in different reperfusion times of HIRI. Methods: 49 SD mice were randomly divided into the sham operation group and the 0.5h
3h
6h
12h
24h
48h groups after HIRI
a total of 7 groups. Establishment of HIRI model in mice
use contrast-enhanced ultrasound to observe the liver perfusion in each group
and then use post-processing software to obtain peak intensity (PI)
area under the curve (AUC)
peak time (TP)
mean transit time (MTT)
and the changes were observed. The inferior vena cava blood was taken to detect the levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) in each sample. The mice were sacrificed and their liver tissues were taken for histopathological examination. Pearson correlation analysis was used to analyze the correlation between each parameter of contrast-enhanced ultrasound and serum ALT and AST levels. Results: The PI and AUC levels in the HIRI 0.5h
3h
6h
12h
24h
48h group were lower than the sham operation group
and the TP and MTT levels were higher than the sham operation group
and the differences were statistically significant (P<0.05). The ALT and AST levels in the HIRI 0.5h
3h
6h
12h
24h
48h group were higher than those of the sham operation group
and the differences were statistically significant (P<0.05). Pearson correlation analysis showed that AUC levels were negatively correlated with serum ALT and AST levels (r=-0.754
r=-0.808
P<0.001). There was a positive correlation between TP levels and serum ALT and AST levels (r=0.731
r=0.709
P<0.001). There was a positive correlation between MTT level and serum AST level (r=0.718
P<0.001). Conclusion: Contrast-enhanced ultrasound quantitative analysis of various parameters can accurately assess the changes of HIRI microcirculation in mice in real time to reflect its pathological changes
which is of great significance to the evaluation of HIRI. Among them
AUC is the best index for evaluating HIRI among the parameters of contrast-enhanced ultrasound.
肝缺血再灌注损伤超声造影定量分析动态评估
Liver ischemia-reperfusion injuryContrast-enhanced ultrasoundQuantitative analysisDynamic evaluation
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