Page 96 - 南京医科大学自然版

南京医科大学学报（自然科学版） 第44卷第9期
·1268 · Journal of Nanjing Medical University（Natural Sciences） 2024年9月

·影像医学研究·

股直肌剪切波弹性成像对胸腔镜术后肺部并发症的预测价值

许程晨 ，张梦澄 ，冯俊成 ，翟晨骏 ，朱 琦 ，潘宏华 ，刘晨晨 4*
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扬州大学医学院宜兴临床学院麻醉手术部，心胸外科，骨科，超声医学科，江苏 宜兴 214200
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［摘 要］ 目的：探究股直肌剪切波弹性成像（shear wave elastography，SWE）与胸腔镜术后肺部并发症（postoperative pulmo⁃
nary complication，PPC）的相关性及预测价值。方法：收集择期行胸腔镜手术的 292 例患者的临床资料。根据术后是否发生
PPC，分为非PPC组和PPC组。两组患者术前股直肌检查均采用常规超声联合SWE，测量股直肌厚度（rectus femoris thickness，
RFthick）、横截面积（cross⁃sectional area，RFcsa）及剪切波弹性速度平均值（mean shear wave velocity，CSmean）。比较两组间临床资料
与股直肌超声各参数的差异，并分析与PPC发生的相关性，采用二元Logistic回归分析得出联合诊断公式，绘制受试者工作特
征曲线进一步分析单一指标和联合指标对PPC的预测价值。结果：PPC的发生与年龄呈正相关，与股直肌CSmean呈负相关（P <
0.001）；年龄与股直肌CSmean单独预测PPC的效能较低，两指标联合预测效能更高，曲线下面积为0.714。结论：股直肌CSmean分
析预测PPC的发生具有可行性，结合年龄指标预测价值更高，可无创、快速评估胸腔镜手术患者发生PPC的风险。
［关键词］ 肺部并发症；股直肌；剪切波弹性成像；二维超声
［中图分类号］ R445.1 ［文献标志码］ A ［文章编号］ 1007⁃4368（2024）09⁃1268⁃07
doi：10.7655/NYDXBNSN240386

Predictive value of rectus femoris shear wave elastography for postoperative pulmonary
complications in thoracoscopic surgery

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XU Chengchen ，ZHANG Mengcheng ，FENG Juncheng ，ZHAI Chenjun ，ZHU Qi ，PAN Honghua ，LIU Chenchen 4*
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1 Department of Anesthesia Surgery，Department of Cardiothoracic Surgery，Department of Orthopedics，Department
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of Ultrasound，the Affiliated Yixing Clinical School of Medical School of Yangzhou University，Yixing 214200，China
［Abstract］ Objective：To explore the correlation and predictive value of shear wave elastography（SWE）of the rectus femoris with
postoperative pulmonary complication（PPC）following thoracoscopic surgery. Methods：Clinical data from 292 patients scheduled for
elective thoracoscopic surgery were collected. Patients were divided into the PPC group and the non⁃PPC group，based on the ocurrence
of PPC postoperatively. Preoperative assessments of the rectus femoris included conventional ultrasound combined with SWE，
measuring rectus femoris thickness（RFthick），cross⁃sectional area（RFcsa），and mean share wave velocity（CSmean）. Differences in clinical
data and the rectus femoris ultrasound parameters between the two groups were compared. The correlation with PPC occurrence was
analyzed，and a combined diagnostic formula was derived using binary logistic regression analysis. ROC curves were plotted to further
analyze the predictive value of single and combined indicators for PPC. Results：The occurrence of PPCs was positively correlated with
age and negatively correlated with the rectus femoris CS mean （P < 0.001）. Age and CSmean alone had lower predictive efficacy for PPCs，

while their combination showed higher efficacy，with the area under cure of 0.714. Conclusion：Analysis of the rectus femoris CS mean is
feasible for predicting the occurrence of PPCs，and its predictive value is enhanced when combined with age. This non⁃invasive and
rapid assessment can evaluate the risk of PPC in patients undergoing thoracoscopic surgery.
［Key words］ postoperative pulmonary complications；rectus femoris；shear wave elastography；two⁃dimensional ultrasound
［J Nanjing Med Univ，2024，44（09）：1268⁃1273，1304］

［基金项目］ 国家自然科学基金（82202716）；无锡市卫生健康委科研项目（Q202266）
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通信作者（Corresponding author），E⁃mail：staff6610@yxph.com