Application of Shear Wave Elastography in the Kidneys of Children with Henoch - Schonlein Purpura
10.11969/j.issn.1673-548X.2023.11.026
- VernacularTitle:剪切波弹性成像在过敏性紫癜儿童肾脏中的应用
- Author:
Xiaoying CUI
1
;
Xiaomei ZHAN
;
Maosheng XU
Author Information
1. 325027 温州医科大学附属第二医院超声科
- Keywords:
Shear wave elastography;
Henoch-Schonlein purpura;
Kindey
- From:
Journal of Medical Research
2023;52(11):133-136,141
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of shear wave elastography(SWE)in the kidneys of children with Henoch-Schonlein purpura(HSP).Methods A total of 59 cases with HSP admitted to the Second Affiliated Hospital of Wenzhou Medical University from November 2021 to August 2022 were selected and divided into simple HSP group(29 cases)and Henoch-Schonlein purpura nephritis(HSPN)group(30 cases).50 normal children during the same period were included as control group.The Young′s modulus(YM)of right renal cortex and medulla were compared among the three groups.receiver operating characteristic curve(ROC curve)was plotted to evaluate the diagnostic efficiency of SWE for simple HSP.Correlation analysis and multiple linear regression analysis were performed for the YM value of right renal cortex and medulla of all children with HSP and related indexes.Results There was statistical significance in YM values of right renal cortex and medulla among the three groups(P<0.05).The YM value of right renal cortex of the simple HSP group was higher than that in the control group and HSPN group(P<0.05).The YM value of right renal medulla of the simple HSP group were higher than that in the control group(P<0.05).The YM value of right renal cortex was better than the YM value of right renal medulla in the diagnostic efficiency of simple HSP.The YM value of right renal cortex and medulla both had a linear regression relation-ship with the right renal volume.Conclusion The YM value of right renal cortex and medulla were higher than those of healthy children,with the progression of the disease the YM values decreasing.It may become a new technology for routine screening and follow-up moni-toring of renal involvement in children with HSP.