非均匀性脂肪肝的超声图像分析

目的通过分析非均匀性脂肪肝的超声图像特点,为准确诊断提供依据。方法选择经超声诊断为非均匀性脂肪肝的患者35例,根据超声图像特点进行分型,与CT结果相比较。指导确诊患者调整饮食及适当的体育锻炼,6个月复查超声图像。对超声(6例)和CT(2例)检查疑有占位/肿瘤病变患者进一步作MRI及同位素肿瘤指标检查,将各种检查结果进行对照。结果经饮食控制和体育锻炼,6个月后复查,脂肪肝程度均有所减轻,有5例基本消失。疑有占位病变者中仅1例确诊为肝癌,另有3例为血管瘤。结论非均匀性脂肪肝为可逆性病变,疑有占位病变者应结合相关检查以提高其诊断率。

Imaging Analysis of Non-uniform Fatty Liver Disease with Ultrasound

Objective To investigate the imaging characteristic of non-uniform fatty liver with ultrasound(US) and provide the reliable diagnostic basis for clinic.Methods 35 patients,who were diagnosed by US as non-uniform fatty liver,have been classified into four types based upon imaging characteristics.The ultrasonic imaging was compared with results of computerized tomography(CT).These patients were suggested to conduct the controlled diet and physical exercise for 6 months.Results The degrees of fatty liver injury in all cases were alleviated after 6 month diet and exercise treatment.Of them,5 cases were found complete disappearance of fatty liver image by ultrasound.One case presented an occupying neoplasm by ultrasound image was finally diagnosed as liver cancer via MRI and three cases were diagnosed as liver hemangiomas.Conclusion The non-uniform fatty liver disease is reversible illness and will be much reliable diagnosed by combinative use of US and CT/MRI.