| 王 雨,王 楠,韩 璐,曲长君,刘媛媛,付建军.瞬时弹性成像技术对非酒精性单纯性脂肪肝的诊断价值及受控衰减系数与糖脂代谢的相关性分析[J].,2021,(5):958-961 |
| 瞬时弹性成像技术对非酒精性单纯性脂肪肝的诊断价值及受控衰减系数与糖脂代谢的相关性分析 |
| The Diagnostic Value of Transient Elastography in Nonalcoholic Simple Fatty Liver and the Correlation between Controlled Attenuation Coefficient and Glycolipid Metabolism |
| 投稿时间：2020-06-27 修订日期：2020-07-21 |
| DOI：10.13241/j.cnki.pmb.2021.05.034 |
| 中文关键词: 非酒精性单纯性脂肪肝 瞬时弹性成像技术 彩色多普勒超声 受控衰减系数 糖脂代谢 |
| 英文关键词: Nonalcoholic simple fatty liver Transient elastography Color Doppler ultrasound diagnosis Controlled attenuation coefficient Glycolipid metabolism |
| 基金项目:陕西省社会发展科技攻关项目(2016SF-624)；西安市科技计划项目[2019115413YX009SF042（4）] |
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| 中文摘要: |
| 摘要 目的：探讨瞬时弹性成像技术(FibroTouch)对非酒精性单纯性脂肪肝(NAFLD)的诊断价值及受控衰减系数(CAP TM )与糖脂代谢的相关性分析。方法：选取2017年8月~2019年8月期间本院收治的NAFLD患者117例为研究对象，纳入实验组，另选同期在我院进行健康体检的健康受试者80例为对照组。对实验组患者和对照组受试者进行FibroTouch检查、腹部彩色多普勒超声检查、糖脂代谢指标生化检查。对比两组受试者的糖脂代谢指标水平、CAP TM 水平、FibroTouch检查与彩色多普勒超声检查诊断NAFLD的准确率，分析CAP TM 水平与糖脂代谢指标水平的相关性。结果：实验组空腹血糖(FPG)、糖化血红蛋白(HbA1C)、空腹胰岛素(FINS)水平均高于对照组(P<0.05)。实验组甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白(LDL-C)、载脂蛋白A(apoA)、CAP TM 水平均高于对照组(P<0.05)。FibroTouch检查NAFLD的准确率高于彩色多普勒超声检查(P<0.05)。经Pearson相关性分析显示，CAP TM 与各项糖脂代谢指标均呈正相关性(P<0.05)。结论：相比于彩色多普勒超声检查，FibroTouch用于NAFLD的诊断准确率更高，FibroTouch检查参数CAP TM 与糖脂代谢指标存在明显的相关性，可辅助用于NAFLD的诊断和病情评估。 |
| 英文摘要: |
| ABSTRACT Objective: To study the diagnostic value of FibroTouch（FibroTouch） in nonalcoholic simple fatty liver (NAFLD) and the correlation between controlled attenuation coefficient (cap tm ) and glycolipid metabolism. Methods: 117 patients with NAFLD who were admitted to our hospital from August 2017 to August 2019 were selected as the study subjects and 80 healthy subjects who had physical examination in our hospital at the same time were selected as the control group. The patients in the experimental group and the control group were examined by FibroTouch, abdominal color Doppler ultrasound and biochemical examination of glycolipid metabolism. The level of glycolipid metabolism index, cap tm , the accuracy rate of fiberscan and color Doppler ultrasound in diagnosing NAFLD, and the correlation between cap tm and glycolipid metabolism index were analyzed. Results: The levels of Fasting blood glucose (FPG), Glycosylated hemoglobin (HbA1c), and Fasting insulin (fins) in the experimental group were higher than those in the control group (P < 0.05). Triglyceride (TG), total cholesterol (TC), low density lipoprotein (LDL-C), apolipoprotein A (ApoA) and cap tm in the experimental group were higher than those in the control group (P < 0.05). The accuracy of NAFLD in fibrotouch was higher than that in CDUS (P < 0.05). By Pearson correlation analysis, cap tm was positively correlated with each index of glycolipid metabolism (P < 0.05). Conclusion: Transient elastography can be used in the diagnosis of nonalcoholic simple fatty liver with higher accuracy than ultrasound. There is a significant correlation between cap tm and glycolipid metabolism index, it can be used for diagnosis and evaluation of NAFLD. |
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