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目的探讨妊娠期急性脂肪肝的超声特点。方法本院自2011年10月~2013年10月收治的65例妊娠期急性脂肪肝患者为研究对象,观察其血清胆红素、黄疸病史及腹部超声资料等,并根据其超声诊断特点将其分为脂肪肝组(甲组)、肝质地密集组(乙组)、肝质地无改变组(丙组),比较三组患者产前产后数据。结果甲组及丙组患者病例数据比较差异有统计学意义(P<0.05);甲组、丙组患者胆囊改变概率明显大于乙组(P<0.05);三组患者中产后出现脾肿大、胸腹腔积液患者大于产前(P<0.05)。结论超声诊断在妊娠期急性脂肪肝中应用有助于疾病诊断及预防,效果显著。
Objective To investigate the ultrasound features of acute fatty liver in pregnancy. Methods From September 2011 to October 2013, 65 patients with acute fatty liver during pregnancy were enrolled in this study. The serum bilirubin, the history of jaundice and abdominal ultrasonography were observed. According to their diagnostic characteristics, Divided into fatty liver group (group A), dense liver mass group (group B), liver no change group (group C), and compared the data of three groups before and after delivery. Results The data of patients in group A and group C were significantly different (P <0.05). The probability of gallbladder changes in group A and group C was significantly higher than that in group B (P <0.05). The splenomegaly, Patients with pleural effusion more than prenatal (P <0.05). Conclusion The application of ultrasound in the diagnosis of acute fatty liver during pregnancy is helpful to the diagnosis and prevention of diseases.