超声诊断分析糖尿病合并脂肪肝  

作　　者：李建华[1] 刘超[1] 薛淑会[1] 郄增慧[1] 姜平 

机构地区：[1]解放军254医院特诊科,天津300142 [2]天津航空装备训练基地门诊部,300300

出　　处：《中国社区医师（医学专业）》2012年第8期251-252,共2页

摘　　要：目的:探讨"糖尿病性脂肪肝"在超声检查中的临床意义。方法:以飞利浦HDII彩色多普勒超声仪对5700例,其中某事业单位职工正常查体2900例(体检组)和糖尿病住院体检2800例(糖尿病组)两组进行对照性肝脏超声检查,观察肝实质回声改变,测量肝脏右叶最大垂直径。结果:体检组脂肪肝1020例(35.78%),其中男907例(43.02%),女113例(14.26%),男女相差较大,超声显示肝右叶上下径>13cm,形态饱满,边角变钝,实质回声细密增强,肝肾对比反差增大,后方1/3回声衰减,呈云雾状,肝静脉显示不清晰。糖尿病组脂肪肝2002例(71.5%),其中男1444例(72.2%),女558例(69.75%),男女相差不大。超声显示肝右叶上下径<14cm,实质回声颗粒略增粗增强,肝肾对比反差大,后方回声多数不衰减。糖尿病组比体检组脂肪肝增多35.72%。结论;糖尿病性脂肪肝与肥胖型脂肪肝在超声检查及预防和治疗中有一定的差别。Objective：To analyze the clinical significance of ultrasound diagnosis of dia- betie fatty liver. Method：To conduct a com- parative liver examination of two groups of people totaling 5700 by Philips HDII Color Doppler Ultrasound Meter. One group contains 2900 employees of some government - affiliated organs to receive routine check - up and the other contains 2800 hospitalized diabetes. The examination is done by observing the change in hepatic parenchyma echo and measuring the maximum vertical diame- ter of the right liver lobe. Result：There are1020 cases of fatty liver in the check -up group,accounting for 35.78% of the total, with 907 males （43.02%） and ! 13 females （14. 26% ）. A great difference in number can be seen between male and female. The uhrasound shows that the right liver lobe is full in form with a max. diameter 〉 13era, blunt edges and enhanced parenchyma ech- o. The contrast between the liver and kidney is sharper and the posterior 1/3 parenchyma echo weakens. The liver vein is not shown clearly. The diabetes group has 2002 fatty liver cases,71.5% of the total, with 1444 males （35.72%） and 558 females （69. 75% ）. No big difference is seen between male and female in number. The ul- trasound shows a RL vertical diameter 〈 14era, slightly enhanced parenchyrna echo, sharp contrast between liver and kidney and no weakening of posterior parenchyma echo. There is an obvious increase of 35.72% in fatty liver eases of the diabetes group compared with those of the check - up group. Conclusion ：The diabetic fatty liver and obesity fatty liver differ from each other in the ultrasound examination, prevention and treatment.

关 键 词：糖尿病 脂肪肝 超声诊断 

分 类 号：R587.2[医药卫生—内分泌]