超声诊断精神科脂肪肝患者198例结果分析

Ultrasound diagnosis for 198 psychiatric patients with fatty liver and result analysis

目的:通过超声检测脂肪肝患者,分析其形成的原因、声像图特征及其分型。方法:用LO91Q400CL型超声探查2 989例入院精神疾病患者,探头频率3.5MHz患者空腹,常规检测肝区,观测血管分布及管壁反射等。结果:在2 989例患者中,发现脂肪肝189例(6.3%),其中男152例,女37例,根据图像特征将脂肪肝分为4型,Ⅰ型:轻度脂肪肝112例(59.3%);Ⅱ型:中度脂肪肝57例(30.2%);Ⅲ型:重度脂肪肝18例(9.5%);Ⅳ型:局限性脂肪肝2例(1.0%),纳入患者以Ⅰ型轻度常见。结论:无血脂升高患者也可以发生脂肪肝,可能是因为服用吩噻嗪类精神药物所至,采用超声检测,有利于脂肪肝的诊断。超声对精神科患者脂肪肝的诊断、分型监测是一种安全有效的方法。

Objective To detect patients with fatty liver with ultrasound to analyze the reasons for its formation, sonographicfeatures and typing. Methods： LO91Q400CL type ultrasonic probe was used to 2989 cases admitted to hospital with mental illness witha probe frequency of 3. 5MHz. The fasted cases were detected in the liver by routine tests, and vascular distribution, wall refection andthe like were observed. Results： Among the 2989 cases, there were 189 cases （6. 3%） with fatty liver, in which 152 cases were maleand and 37 cases were females. According to the image features, they will be divided into four types of fatty liver： type ： mild fatty liv-er, 112 cases （59. 3%）; type II： moderate fatty liver, 57 cases （30. 2%）; type III： severe fatty liver, 18 cases （9. 5%）; type IV：focal fatty liver, 2 cases （1. 0%）, and the most patients were type I. Conclusions： The patients without elevated blood lipids can alsosuffered from fatty liver, probably because of taking psychotropic drugs of phenothiazines. The use of ultrasonic testing can help to di-agnose fatty liver, and ultrasound diagnosis of the psychiatric patients with fatty liver is a safe and effective method.