Van Le L, Podrasky A
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco.
J Reprod Med. 1990 Aug;35(8):815-7.
Acute fatty liver of pregnancy is associated with complications that can influence antepartum management and necessitate delivery. To date, liver biopsy has been regarded as the "gold standard" for diagnosis. Radiologic evaluation of the liver has been suggested as a less invasive means of diagnosing this entity. Five patients with acute fatty liver of pregnancy underwent ultrasonography; three underwent concomitant computed tomography (CT) of the liver. The liver appeared to be normal in all the patients undergoing CT evaluation and all undergoing ultrasonography except one. Normal liver examinations are not unusual findings in patients with acute fatty liver of pregnancy.
妊娠急性脂肪肝与一些并发症相关，这些并发症会影响产前管理并需要进行分娩。迄今为止，肝活检一直被视为诊断的“金标准”。肝脏的放射学评估已被提议作为诊断该病症的一种侵入性较小的方法。五名妊娠急性脂肪肝患者接受了超声检查；三名患者同时接受了肝脏计算机断层扫描（CT）。除一名患者外，所有接受CT评估和超声检查的患者肝脏看起来均正常。在妊娠急性脂肪肝患者中，肝脏检查结果正常并非罕见。
