罗燕,李波,卢强,陈克霏,文晓蓉,钟跃.供肝移植前超声快速评价供肝脂肪变性的初步研究[J].中国医学影像技术,2006,22(3):433~435
供肝移植前超声快速评价供肝脂肪变性的初步研究
Primary ultrasonographic evaluation of hepatic steatosis in the liver graft before transplantation
投稿时间:2005-10-05  修订日期:2005-11-15
DOI:
中文关键词:  肝移植  脂肪肝  超声检查
英文关键词:Liver transplantation  Fatty liver  Ultrasonography
基金项目:
作者单位E-mail
罗燕 四川大学华西医院超声科,四川 成都 610041 luoyan77@vip.sina.com 
李波 四川大学华西医院普外科,四川 成都 610041  
卢强 四川大学华西医院超声科,四川 成都 610041  
陈克霏 四川大学华西医院普外科,四川 成都 610041  
文晓蓉 四川大学华西医院超声科,四川 成都 610041  
钟跃 四川大学华西医院超声科,四川 成都 610041  
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中文摘要:
      目的 初步探讨供肝移植前超声快速评价供肝脂肪变性的价值。方法 用传统二维超声诊断法及中场灰度值测量法对25例供肝移植前快速评定有无脂肪变性,并与脂肪含量测定及病理分型做对比分析。 结果 以脂肪含量测定为金标准,传统二维超声诊断法及以供肝中场灰度值≥40诊断脂肪肝的敏感性、特异性及准确性分别为55.6%、100%、84%及88.9%、81.2%、85%。结论 供肝移植前,用超声快速评价供肝脂肪变性具有较高的特异性,以中场灰度值补充诊断,可在一定程度上提高敏感性。
英文摘要:
      Objective To evaluate the value of ultrasonography in assessment of hepatic steatosis of the liver graft before transplantation. Methods The ultrasonographic results of fatty deposit in 25 liver grafts were confirmed by pathological diagnosis with Sudan Ⅲ staining and lipid determination with Soxhlet's extraction procedure before transplantation. Traditional 2-D ultrasonography and gray-scale density measurement in middle field were performed in each case. Results Compared with adipose determination, the sensitivity, specificity and accuracy were 55.6%, 100%, 84% in real-time 2-D ultrasonography and 88.9%, 81.2%, 85% in gray-scale density measurement in middle field respectively. Conclusion The specificity of ultrasonography in determining hepatic steatosis of the liver graft before transplantation is high. The sensitivity can be improved by adding gray-scale density measurement in middle field.
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