首页|超声检查对诊断脂肪肝的临床意义

超声检查对诊断脂肪肝的临床意义

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目的:分析超声检查对诊断脂肪肝的应用价值.方法:回顾性分析医院2021年4月~2023年3月收治的65例肝脏病变患者临床资料,其中脂肪肝48例、肝囊肿10例、病毒性肝炎7例.所有患者已实施彩色多普勒超声、CT检查,分析影像学资料,比较超声与CT对脂肪肝诊断的灵敏度、特异度、准确率及对脂肪肝病情诊断效果.结果:超声与CT对脂肪肝诊断灵敏度、特异度、准确率比较,差异无统计学意义(P>0.05).超声对轻度、中度程度脂肪肝诊断准确率高于CT,差异具有统计学意义(P<0.05),超声与CT对重度脂肪肝诊断准确率比较差异无统计学意义(P>0.05).非脂肪肝患者、轻度脂肪肝患者、中度脂肪肝患者、重度脂肪肝患者的肝脏皮下脂肪层厚度依次增加,重度脂肪肝患者的声速值显著低于中度脂肪肝、轻度脂肪肝、非脂肪肝患者,差异有统计学意义(P<0.05).结论:采用超声检查可提高脂肪肝诊断敏感度,准确评估脂肪肝发展程度,为临床治疗指导提供重要参考依据.
Clinical Significance of Ultrasound Examination in the Diagnosis of Fatty Liver Disease
Objective:To analyze the application value of ultrasound examination in the diagnosis of fatty liver.Methods:A retrospective analysis was conducted on the clinical data of 65 patients with liver lesions admitted to the hospital from April 2021 to March 2023,including 48 cases of fatty liver,10 cases of liver cysts,and 7 cases of viral hepatitis.All patients have undergone color Doppler ultrasound and CT examinations,analyzing imaging data,and comparing the sensitivity,specificity,accuracy,and diagnostic efficacy of ultrasound and CT in the diagnosis of fatty liver disease.Results:There was no statistically significant difference in the sensitivity,specificity,and accuracy of ultrasound and CT in the diagnosis of fatty liver(P>0.05).The diagnostic accuracy of ultrasound for mild to moderate fatty liver was higher than that of CT,with a statistically significant difference(P<0.05).There was no statistically significant difference in the diagnostic accuracy of ultrasound and CT for severe fatty liver(P>0.05).The thickness of the subcutaneous fat layer in the liver of patients with non fatty liver,mild fatty liver,moderate fatty liver,and severe fatty liver increased sequentially.The sound velocity value of patients with severe fatty liver was significantly lower than that of patients with moderate fatty liver,mild fatty liver,and non fatty liver,and the difference was statistically significant(P<0.05).Conclusion:Using ultrasound examination can improve the diagnostic sensitivity of fatty liver,accurately evaluate the degree of fatty liver development,and provide important reference basis for clinical treatment guidance.

ultrasound examinationfatty liverdiagnostic effectiveness

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天津市滨海新区塘沽传染病医院(天津 300454)

超声检查 脂肪肝 诊断效能

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(4)
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