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目的:探讨超声诊断胰腺脂肪浸润与血脂、脂肪肝的关系方法:回顾性分析63例胰腺脂肪浸润者与148例同期检查无胰腺脂肪浸润者的病历资料,研究胰腺脂肪浸润的超声特点以及与脂肪肝、血脂浓度、年龄、血压等的关系。结果:胰腺脂肪浸润超声显示为胰腺饱满,边缘模糊,回声增强且明显强于肝脏,与正常胰腺超声影像容易鉴别胰腺脂肪浸润组血浆甘油三酯浓度2.17±1.22mmol/L,比非浸润组的1.35±1.06mmol/L明显高(P<0.05),胰腺脂肪浸润组患者100%(63/63)合并脂肪肝明显高于非浸润组的20.95%(31/148)(P<0.05)二组在胆固醇浓度、高血压发病率及年龄方面无显著差异(P>0.05)。结论:胰腺脂肪浸润与脂肪肝、血浆甘油三酯浓度有着一定的相关性,超声诊断胰腺脂肪浸润对于提示其他相关疾病与异常的存在具有重要临床参考价值
Objective: To explore the relationship between the diagnosis of pancreatic fat infiltration and fatty liver by ultrasonography.Methods: The clinical data of 63 cases of pancreatic fat infiltration and 148 cases of pancreatic fat-free infiltration were retrospectively analyzed to investigate the characteristics of fatty infiltration of pancreas and the relationship with fat Liver, blood lipid concentration, age, blood pressure and other relationships. Results: Pancreatic fat infiltration ultrasound showed pancreas fullness, fuzzy edges, enhanced echogenicity and significantly stronger liver. Compared with normal pancreas, the plasma triglyceride concentration in pancreatic fat infiltration group was 2.17 ± 1.22 mmol / L, which was significantly higher than that in non-infiltrative group 1.35 ± 1.06mmol / L was significantly higher (P <0.05). The percentage of fatty liver in 100% (63/63) patients with pancreatic fat infiltration was significantly higher than that in non-infiltration patients (20.95%, 31/148, P <0.05) There was no significant difference in cholesterol concentration, incidence of hypertension and age (P> 0.05). Conclusion: There is a certain correlation between fatty infiltration and fatty liver and plasma triglyceride in the pancreas. Ultrasound diagnosis of pancreatic fatty infiltration has important clinical value for suggesting the existence of other related diseases and abnormalities