脂肪肝的超声诊断与血脂浓度相关性分析

Studies of the Relationship Between Fatty Liver′s Ultrasonic Diagnosis and Blood Fat Concentration

目的:探讨超声诊断脂肪肝的价值及脂肪肝与血脂浓度之间的关系.材料与方法:对我院2003年1月～2004年12月门诊或住院的188例脂肪肝患者的肝脏超声检测结果和血脂浓度结果进行回顾性分析.结果:82.98%(156/188)的脂肪肝患者的声像图特征以均匀弥漫型为主,17.02%(32/188)的脂肪肝患者的声像图特征可表现为非均匀型.在均匀弥漫型中,轻、中、重度脂肪肝患者的血脂浓度相比较,差异无统计学意义(P＞0.05);脂肪肝的发生与血清甘油三酯浓度的升高关系较密切(36.70%),部分(33.51%)脂肪肝患者的血脂可正常,但脂肪肝程度越重,血脂异常可能性越大(P＜0.05).结论:高脂血症特别是高甘油三酯血症是导致脂肪肝的重要原因,但不能作为脂肪肝的诊断指标,而超声对脂肪肝的诊断有较高的临床实用价值.

Purpose： To explore the relationship between fatty liver＇s ultrasonic diagnosis and blood fat concentration， Materials and Methods： Make a retrospectively analysis of 188 patients＇s ultrasonic diagnosis and blood fatty concentration, who got a fatty liver from Jan 2003 to Dec 2004， Results： 82.98% （156/188） of the fatty liver patients had ultrasonic image character of uniformity suffuse, and 17.02% （32/188） of the fatty liver patients had ultrasonic image character of non uniformity， Comparing the blood fatty concentration of light, middling and severity liver fatty patients who got a tmifonnity characters, statistic sighnificance have not been found in the difference （P 〉 0.05）. The raise of serum＇s glycerol concentration has a close relationship with the fatty liver disease （36.7 % ）. 33.51% of the fatty fiver patients got a normal blood fatty concentration, but with the increase of severity, the possibility of abnormity blood fatty increase （P〈 0.05）. Conclusion： High blood fatty disease is an importance reason leading to fatty liver, especially the glycerol，but this can＇s be used as an diagnostic index of fatty liver disease，ultrasonic diagnose play an important clinic application value in fatty liver diagnose。