腹部超声评估老年非均匀性脂肪肝疾病严重程度的效果研究  

STUDY ON EFFECTS OF ABDOMINAL ULTRASOUND IN EVALUATING SEVERITY OF ELDERLY NON-UNIFORM FATTY LIVER DISEASE

作　　者：王学芳 WANG Xuefang(ChangzhiTraditional Chinese Medicine Hospital,Changzhi 046000,China)

机构地区：[1]山西省长治市中医医院,046000

出　　处：《中国煤炭工业医学杂志》2022年第5期490-494,共5页Chinese Journal of Coal Industry Medicine

基　　金：山西省自然科学基金资助项目(编号:2015021189)。

摘　　要：目的 探析腹部超声评估老年非均匀性脂肪肝疾病严重程度的效果。方法 择取2018年11月—2021年2月经本院超声科收治疑似非均匀性脂肪肝疾病患者67例老年患者开展研究,均进行腹部超声检查,统计肝脏形态、边界、大小、管道结构、内部回声及血流信号等超声影像特征,经两名高年资医师作双盲判读统一意见,比对病理检查结果,分析腹部超声用于老年非均匀性脂肪肝疾病诊断价值,且根据疾病严重程度分为轻度组(肝脏脂肪沉积10%~33%)、中度组(肝脏脂肪沉积33%~66%)及重度组(肝脏脂肪沉积≥66%),进一步分析腹部超声对老年非均匀性脂肪肝疾病严重程度评估效果。结果 经病理检查,67例疑似非均匀性脂肪肝疾病,52例确立为非均匀性脂肪肝,轻度27例、中度16例、重度9例;超声分型Ⅰ型17例、Ⅱ型11例、Ⅲ型24例;经腹部超声检查,非均匀性脂肪肝诊断准确率、Kappa值分别为88.06%、0.661,非均匀性脂肪肝分型诊断准确率为86.54%、Kappa值为0.794;经F分析,三组Mean、Sd、%Area、Lf index比较,差异有统计学意义(P<0.05);非均匀性脂肪肝疾病严重程度诊断准确率为73.08%、Kappa值为0.667%。结论 腹部超声在老年非均匀性脂肪肝疾病严重程度评估上具有一定效果。Objective To explore and analyze the effects of abdominal ultrasound in evaluating the severity of non-uniform fatty liver disease in the elderly.Methods 67 elderly patients with suspected non-uniform fatty liver disease who were treated in department of ultrasound of the hospital were selected for the study between November 2018 and February 2021.Abdominal ultrasound examination was performed on all patients, and the ultrasound imaging features such as liver morphology, boundary, size, pipeline structure, internal echo and blood flow signal were statistically analyzed.Two senior physicians made a unified opinion of double-blind interpretation, and the pathological examination results were compared and the diagnostic value of abdominal ultrasound on elderly non-uniform fatty liver disease was analyzed.According to the severity of disease, the elderly patients were divided into the mild group(liver fatty deposition of 10%-33%),the moderate group(liver fatty deposition of 33%-66%) and the severe group(liver fatty deposition≥66%).The evaluation effect of abdominal ultrasound on severity of elderly non-uniform fatty liver disease was further analyzed.Results After pathological examination, 67 patients were suspected of non-uniform fatty liver disease, among which 52 cases were identified as non-uniform fatty liver disease, including 27 mild cases, 16 moderate cases and 9 severe cases.In terms of ultrasound typing, there were 17 cases of type I,11 cases of type II and 24 cases of type III.The diagnostic accuracy rate and Kappa value of abdominal ultrasound examination were 88.06% and 0.661 in the diagnosis of non-uniform fatty liver disease, and were 86.54% and 0.794 in the diagnosis of non-uniform fatty liver disease types.F analysis showed that there were statistically significant differences in the Mean, Sd, %Area and Lf index among the three groups(P<0.05).The diagnostic accuracy rate and Kappa value were 73.08% and 0.667% of abdominal ultrasound examination in the evaluation of severity of non-uniform fatty liv

关 键 词：非均匀性脂肪肝 老年人 腹部超声 

分 类 号：R81[医药卫生—放射医学]