健康人群13681例行超声检查发现肝脏疾病2846例

Liver diseases revealed by ultrasonic examination:2 846 cases in 13 681 healthy individuals

目的:探讨超声检查在健康人群体检中发现肝脏疾病的意义.方法:回顾性分析某单位35岁以上健康人群13681例在健康体检中肝脏超声检查结果.超声检查采用全身彩色多普勒超声诊断仪,受检者应空腹8h以上,检查腹部(如肝脏、胆囊、胰腺);取不同体位对各脏器进行多切面检查,发现阳性所见,停桢、测量、存图.结果:参检群体13681例发现肝脏疾病2846例,主要疾病患病率以脂肪肝疾病居首位(6.43%),其次为胆囊结石(6.27%)、胆囊息肉(3.78%)、肝囊肿(2.33%)、肝硬化(1.07%)、肝血管瘤(0.84%)、肝癌(0.07%),而其他疾病为1204例、占8.80%.结论:健康人群超声检查可发现肝脏的一些常见病及隐匿性肝脏的恶性肿瘤,为临床治疗提供最佳时机.超声检查具有简便、无创伤、快速及筛选等功能,作为肝脏体检的必检项目有意义.

AIM：To investigate the incidence of liver diseases in a healthy population in order to enhance their awareness of health care.METHODS：The ultrasonic images obtained during a physical examination for 13 681 persons over 35 years of age were retrospectively reviewed.RESULTS：The incidences of main liver diseases found in this population were as follows：fatty liver （6.43%）,gallbladder stone （6.27%）,gallbladder polyps （3.78%）,hepatic cyst （2.33%）,liver cirrhosis （1.07%）,hemangiomas （0.84%）,liver cancer （0.07%）,and other disease （8.80%）.CONCLUSION：Common liver diseases,even ea rly-stage cancer,could be found by ultrasonic examination in a population for healthy examination.Ultrasound is easily performed and represents a non-invasive and fast procedure for screening of liver diseases.