超声检查中偶然发现脂肪肝的频率及其与糖尿病和高血压的关联。

Frequency of incidental fatty liver on ultrasound and its association with diabetes mellitus and hypertension.

作者信息

Zubair Rabbia, Mirza Masoom, Iftikhar Javeria, Saeed Nida

机构信息

Dr. Rabbia Zubair, FCPS. Assistant Professor. Department of Surgery, Hamdard University Hospital, Karachi, Pakistan.

Dr. Masoom Mirza, FRCS. Professor and Head of Surgery Department. Department of Surgery, Hamdard University Hospital, Karachi, Pakistan.

出版信息

Pak J Med Sci. 2018 Sep-Oct;34(5):1137-1141. doi: 10.12669/pjms.345.15102.

DOI:10.12669/pjms.345.15102

PMID:30344564

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6191815/

Abstract

OBJECTIVE

To see the frequency of incidental fatty liver on ultrasound and its association with diabetes mellitus and hypertension.

METHODS

A cross sectional study was conducted from January 2016 to June 2016 in the department of Surgery and Radiology at Hamdard University Hospital. Patients of both genders and all ages were selected by non purposive convenience sampling. Critically ill, trauma cases and all those patients who had a history of chronic liver disease, alcohol intake and expected pregnancy were excluded. Blood pressure and random blood sugar were recorded.

RESULTS

Six hundred patients were included in the study with mean age of 44.65±18.8 years. 240 patients (40%) had incidental finding of fatty liver on ultrasound. Out of 240 with fatty liver patients 117 were males (48.8%) and 123 were females (51.3%). Total 141 patients were diagnosed with hypertension, out of which 81(57.44%, p< 0.001) had fatty liver on ultrasound. Diabetes mellitus was diagnosed in 84 patients, in which 57 patients (67.8%, p<0.001) had fatty liver.

CONCLUSION

Fatty liver is a frequently found incidental finding on ultrasound. There is a significant association of fatty liver with diabetes mellitus and hypertension.

摘要

目的

了解超声检查时偶然发现脂肪肝的频率及其与糖尿病和高血压的关联。

方法

于2016年1月至2016年6月在哈姆达德大学医院外科和放射科进行了一项横断面研究。通过非目的性便利抽样选取了所有年龄和性别的患者。排除重症患者、创伤病例以及所有有慢性肝病、饮酒史和预期妊娠史的患者。记录血压和随机血糖。

结果

600名患者纳入研究，平均年龄为44.65±18.8岁。240名患者（40%）超声检查偶然发现脂肪肝。在240例脂肪肝患者中，男性117例（48.8%），女性123例（51.3%）。共有141例患者被诊断为高血压，其中81例（57.44%，p<0.001）超声检查有脂肪肝。84例患者被诊断为糖尿病，其中57例（67.8%，p<0.001）有脂肪肝。