超声直方图对脂肪肝的诊断及分度.pdf

HistogramofultrasoundindiagnosingandgradingoffattyliverSANGLiang,WANGXue-mei*,OUGuo-cheng,LIUYan-jun(DepartmentofUltrasound,theFirstHospitalofChinaMedicalUniversity,Shenyang110001,China)AbstractObjectiveToexplorethevalueofthehistogramofultrasoundindiagnosingandgradingoffattyliver.MethodsNinetysubjectswereenrolledinnormalgroup,lightormoderatetoseverefattylivergroup(eachn=30),respectively.Allthesubjectsunderwenthistogramofultrasoundoftheliver,kidney,spleenandrighthepaticvein(RHV),andtheratioofhistogramMvalueofdifferentareawereanalyzed.ResultsStatisticaldifferencesoftheratioofhistogramMvalueofan-teriorhepatictissueofkidneyandkidney(AntK)betweennormalgroupandtwofattylivergroupsweredetected(P0105).TheratioofhistogramMvalueofanteriorhepatictissueofRHVandRHV(AntV)betweenthenormalgroupandmoderatetoseverefattylivergroup,aswellasthelightandmoderatetoseverefattylivergrouphadstatisticaldifferences(P0105).When0197,0178wereusedrespectivelyasthecriticalvalueoftheratioofhistogramMvalueindiagnosingandgradingoffattyliveratAntKandAntV,thesensitivitywasall80100%and80100%,specificitywas85100%and70100%,respectively.ConclusionTheratioofhistogramMvalueofAntK,AntVcanbeusedasthereferentindexindiagnosingandgradingoffattyliver.KeywordsFattyliver；Ultrasonography；Histogram2Zm#s桑亮,王学梅*,欧国成,刘艳君(SDSvBD2S,a+110001)K12Zm#sNbZEFa-F30,2#a/#a#(RHV)uZmM,isWZmM1bT/-ZF/#(AntK)ZmM1Fa-Fsd9il(P0105),RHV-ZFRHV(AntV)ZmM1F-F#-Fsd9il(P0105)；0197a0178sYT2#sHAntKaAntVZmM1,2sY80100%a80100%；+ssY85100%a70100%bAntKaAntVZmM1VT2#sISb1oM；2_；Zmms|R575；R44511DSMAcI|1003-3289(2010)01-0104-03Te(1983),3,p；,VbZ_:2bE-mail:yichen200805051631comYT,SDSvBD2S,110001bE-mail:l2009-05-272009-08-31hqM6t,XQh=vh1-4b2_K_ZE,CZ4Sb-2s/2FaZma#a=#a/#5-8msjb1YV2#a#a/#(righthepaticvein,RHV)Zm,s/-ZF/#(anteriorhepatictissueofrightkidneyandkidney,AntK)aRHV-ZFRHV(anteriorhepatictissueofRHVandRHV,AntV)a#ZmM1,)2ZmM2Nb1ZE111hhF2006M2912CTS,|2008M4)108_90s_sa-FF(5a3#2_(#a/#%h),F30,(M-sY(5117?917)a(4811?810)(4513?1417)b22SD=_s_,iCT_TMvb#104#SD/2010M261ChinJMedImagingTechnol,2010,Vol26,No1m1ZmM2mA.#；B.#；C.AntK；D.AntV112NZEAlokaA102NmT_,q315510MHz,jhbn5%9ma#HW3jyb#|:s_,/|M,bAUMHm,7=Zm,!|110cm,4#V115215cm3,ZmMb#|:s_,P911W#,b#AU#Hm,!|017cm,|#aa110cm,ZmMbAntK|:s_P,W#|MAUba/m,i/KzH,!|015cm,/aL#-ZFsY|,sYZmMbAntV|:s_P,W#,bAURHVH；!|vl015cm,RHV#-ZF)sY|,sYZmMb113d9s(3Qi|(,9AntKaAntVa#ZmM1bSPSS1310d9q)F,9-x?sVU,t_1FW(,P0105sd9il；iYVskT+wL(receiveroperatingchar-acteristiccurve,ROC)ZmM1sFb2T211ZmM1F1Zm(m1)AntKZmM1:a-FFs(d9il(P0105),-FWsd9ilbAntVZmM1:-FF,#F-Fs(d9il(P0105),FFWsd9ilb#ZmM1FWs(d9il(V1)bV1sFWZmM11(-x?s)sFAntK#AntVF300186?0113*1144?01380169?0114#-F300188?0119*1152?01570196?0142*F301105?01091137?01540177?0127:*:F1,P0105；#:-F1,PP.(2F.S2D,2