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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Sonographic measurement of the thickness of subcutaneous tissues in nonalcoholic fatty liver disease versus other chronic liver diseases.
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Sonographic measurement of the thickness of subcutaneous tissues in nonalcoholic fatty liver disease versus other chronic liver diseases.

机译:超声测量非酒精性脂肪肝与其他慢性肝病皮下组织的厚度。

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PURPOSE: To measure an average subcutaneous tissue thickness in nonalcoholic fatty liver disease (NAFLD) and other liver diseases using bedside sonography and make comparisons of thickness between groups. The study also addressed whether a cut-off subcutaneous tissue thickness exists below which NAFLD is unlikely. METHODS: Sonograph was performed on 113 consecutive patients with chronic liver disease. Diagnosis was derived from serological data combined with liver biopsy in all cases. Distance was measured between the skin and the liver surface and was labeled the subcutaneous tissue thickness. RESULTS: Of the 113 patients, 16 were diagnosed with NAFLD, 56 were diagnosed with chronic hepatitis C, 17 were diagnosed with autoimmune liver disease, and 24 had miscellaneous diagnoses (hepatitis B, hemochromatosis, granulomatous hepatitis, and cryptogenic hepatitis). The subcutaneous tissue thickness was 25.6 mm +/- 5.6 mm in NAFLD versus 19.5 mm +/- 5.2 in the non-NAFLD patients (p < 0.001). The subcutaneous tissue thickness of the HCV group was 20.2 mm +/- 4.8, and although it was not different than all other patients, it was different from the NAFLD patients (p < 0.01). Fifteen out of sixteen of the NAFLD patients had a greater than average subcutaneous tissue thickness (20 mm). CONCLUSIONS: A sonographically measured subcutaneous tissue thickness of less than 20 mm makes the diagnosis of NAFLD unlikely. (c) 2005 Wiley Periodicals, Inc. J Clin Ultrasound 33:439-441, 2005.
机译:目的:使用床旁超声检查非酒精性脂肪性肝病(NAFLD)和其他肝脏疾病的平均皮下组织厚度,并比较各组之间的厚度。这项研究还解决了是否存在截止皮下组织厚度的问题,NAFLD低于该厚度是不可能的。方法:对连续113例慢性肝病患者进行了超声检查。在所有情况下,诊断均来自血清学数据并结合肝活检。测量皮肤与肝表面之间的距离,并标记皮下组织厚度。结果:113例患者中,有16例被诊断为NAFLD,56例被诊断为慢性丙型肝炎,17例被诊断为自身免疫性肝病,还有24例被诊断为杂项(乙型肝炎,血色素沉着症,肉芽肿性肝炎和隐源性肝炎)。 NAFLD患者的皮下组织厚度为25.6 mm +/- 5.6 mm,而非NAFLD患者的皮下组织厚度为19.5 mm +/- 5.2(p <0.001)。 HCV组的皮下组织厚度为20.2 mm +/- 4.8,尽管与所有其他患者没有差异,但与NAFLD患者不同(p <0.01)。在16名NAFLD患者中,有15名的皮下组织厚度大于平均水平(20 mm)。结论:通过超声检查测得的皮下组织厚度小于20 mm,因此不可能诊断为NAFLD。 (c)2005 Wiley Periodicals,Inc. J Clin Ultrasound 33:439-441,2005。

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