Эластометрия печени с применением форсированного импульса акустической радиации (ARFI-эластометрия) у здоровых лиц в покое, после физической и пищевой нагрузок

Цель исследования: определить показатели эластометрии с применением форсированного импульса акустической радиации (ARFI-эластометрия) в норме, после пищевой и физической нагрузок.
Материал и методы. ARFI-эластометрия печени была выполнена у 32 здоровых пациентов (20 (62,5%) добровольцев и 12 (37,5%) потенциальных доноров фрагмента печени). Средний возраст пациентов составил 26,9 ± 5,3 года. Исследование выполняли строго натощак по межреберьям справа при задержке дыхания на фоне неглубокого вдоха в положении лежа на спине с отведенной правой рукой за голову. Эластометрию паренхимы печени 20 добровольцам также выполняли через 30 мин после пищевой нагрузки (калорийность которой составила 350 ккал) и на следующий день непосредственно после физической нагрузки (20 приседаний). Использовали диагностическую систему Siemens Acuson S2000 и широкополостный (1–6 МГц) конвексный датчик 6C1.
Результаты. Значение жесткости паренхимы правой доли печени в норме у 32 пациентов составило 1,16 ± 0,12 м/с (95% ДИ 0,92 ± 1,38). У 20 пациентов значение жесткости печени натощак – 1,21 ± 0,09 м/с (95% ДИ 1,06 ± 1,38), через 30 мин после пищевой нагрузки – 1,22 ± 0,12 м/с (95% ДИ 1,01 ± 1,43) (р > 0,05). Физическая нагрузка не оказала достоверного влияния на жесткость печени (1,16 ± 0,12 м/с против 1,20 ± ± 0,07 м/с, р > 0,05).
Выводы. Жесткость правой доли печени в норме – 1,16 ± 0,12 м/с (95% ДИ 0,92 ± 1,38). Пищевая и физическая нагрузки не оказывают достоверного влияния на показатели жесткости печени.

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