超声对脂肪肝与酒精性脂肪肝的诊断价值

Diagnostic Value of Ultrasound for Adiposis Hepatica and Alcoholic Adiposis Hepatica

目的对超声检出的脂肪肝与酒精性脂肪肝的相关资料进行分析。方法本文是应用脂肪肝与酒精性肝病的诊断方法。结果在对3个单位进行团检的241例(其中,男167例,女74例)被检者中,共检出脂肪肝140例(男110例,女30例),有饮酒史者78例(饮酒5年以上者51例),其检出率为58·09%。脂肪肝检出率男性明显高于女性,而酒精性脂肪肝男性检出率则低于女性,经t检验有非常显著差异(P<0·001)。结论控制体重增加、戒酒,是防止脂肪肝发生的重要措施。脂肪肝检出率高对开展人群门诊健康体检有重要意义,而B超是最佳手段。

Objective To discuss the diagnostic value of ultrasotmd for adiposis hepatica. Methods The relative clinical materials of 140 cases were analyzed retrospectively. Results 140 cases of 241 body examination in 3 units were found with adiposis hepatica and 78 cases had history of drinking alcohol with rate of 58.09%. The detection rate of adiposis hepatica was higher in male than that in female and alcoholic adiposis hepatica was lower in male than that in female （ P 〈 0.001）. Conelusion The body control and alcohol withdrawal might be main cause to prevent adiposis hepatica. The B ultrasound detection should be the best for screen detection in healthy people.