超声组织定征法分度均匀性脂肪肝与血液生化指标的测量研究

Study on Biochemical Value of Fatty Liver Grouped by Ultrasound Tissue Characterization

目的探讨不同程度均匀性脂肪肝超声组织定征(UTC)定量特征与相对应的血液生化指标间的关系。方法用超声组织定征(UTC)定量分级方法将脂肪肝分为度、度、度三个等级,同时测量这些病例的总胆固醇(TC)、高密度脂蛋白胆固醇(HDL)、低密度脂蛋白胆固醇(LDL)及甘油三脂(TG)。结果脂肪肝级别愈高,则后方衰减愈明显。以UTC视频法分度脂肪肝为、、度三组,三组间的血液生化指标总胆固醇(TC)、高密度脂蛋白胆固醇(HDL)、低密度脂蛋白胆固醇(LDL)及甘油三脂(TG)的差异有统计学意义(P<0.05)。结论以UTC视频法分度脂肪肝与血液生化指标有着良好的对应关系,超声视频组织定征法这一无创性方法对定量分度均匀性脂肪肝有着重要价值,血脂的高低与脂肪肝有明显的相关性。

Objective To discuss the relationship between ultrasound tissue characterization （UTC） and related biochemical value in patients with fatty liver. Methods All the patients with fatty liver were divided into three groups （Ⅰ.Ⅱ.Ⅲ） by UTC method and their total cholesterin （TC）, high density lipoprotein （HDL）, low density lipoprotein （LDL） and triglyceride （TG） were measured. Results The difference of TC among Ⅰ.Ⅱ.Ⅲ was remarkable （P〈0. 05）, the difference of LDL was obvious （P〈0.05） in Ⅰ vs Ⅱand Ⅰvs Ⅲ, the difference of TG was obvious （P0. 05） Ⅰvs Ⅱ and Ⅰvs Ⅲ. Conclusions The quantitative diagnosis of fatty liver with different degrees by noninvasive UTC method has great relativity with biochemical value of TC.LDL ,TG and UTC and has great value in identifying different degrees of fatty liver. The degree of blood-lipids has great relationship with fatty liver.