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目的:分析与探讨妊娠期急性脂肪肝产妇的腹部超声诊断结果。方法:选取60名2013年4月~2014年3月在我院接受治疗的妊娠期急性脂肪肝产妇,回顾性分析其血清总胆红素黄疸、病史及腹部超声等临床资料。结果:依照产妇肝超声表现,将其分为3组,其中,肝质地密集组26例,脂肪肝组20例,肝质地未改变组14例。产后20例,产前40例。三组产妇腹部超声表现与黄疸没有相关性,无轻度黄疸,中度、中度黄疸差异性不明显。由于产妇腹部其它脏器受损,产妇胆囊改变具有较高发生率。胆囊改变最为常见的是胆囊壁水肿,胆汁充盈或者无胆汁。结论:研究表明,对妊娠期急性脂肪肝产妇实施腹部超声诊断有助于临床诊治,值得临床应用与推广。
Objective: To analyze and discuss the results of abdominal ultrasound diagnosis of pregnant women with acute fatty liver during pregnancy. Methods: Sixty pregnant women with acute fatty liver during pregnancy treated in our hospital from April 2013 to March 2014 were retrospectively analyzed. Clinical data of serum total bilirubin jaundice, medical history and abdominal ultrasound were retrospectively analyzed. Results: According to the manifestation of maternal liver ultrasound, it was divided into three groups, among which, 26 cases were dense in liver, 20 cases in fatty liver and 14 cases in unchanged liver. Postpartum in 20 cases, prenatal 40 cases. Three groups of maternal abdominal ultrasound showed no correlation with jaundice, no mild jaundice, moderate, moderate jaundice difference was not obvious. Due to other organs of the abdomen of maternal damage, maternal gallbladder changes have a higher incidence. Gallbladder changes are the most common gallbladder wall edema, bile filling or no bile. Conclusion: The study shows that the diagnosis of acute fatty liver during pregnancy abdominal ultrasound diagnosis is helpful in clinical diagnosis and treatment, deserved clinical application and promotion.