2型糖尿病女性患者肝脏的超声特征
Sonographic Features of the Liver Among Females with Type 2 Diabetes.
作者信息
Riestra-Candelaria Bárbara L, González-Rodríguez Loida A, Rodriguez-Mojica Wilma, Vázquez-Quiñones Luis E, Jorge Juan Carlos
机构信息
Department of Anatomy and Neurobiology, School of Medicine, University of Puerto Rico, San Juan, Puerto Rico.
Department of Medicine, Endocrinology, Diabetes and Metabolism Division, School of Medicine, University of Puerto Rico, San Juan, Puerto Rico.
出版信息
J Diagn Med Sonogr. 2019 May;35(3):189-197. doi: 10.1177/8756479319834927. Epub 2019 Mar 8.
The craniocaudal (CC) length of the right lobe of the liver (RLL), liver texture, size of the main portal vein, and hemodynamics of the hepatic artery, were sonographically evaluated in female diabetic and non-diabetic patients. A One-way ANOVA, a Tukey's post-hoc test, and a Kruskal-Wallis with post-hoc Dunn's test, were employed. Non-symptomatic differences in liver anatomy were detected among non-controlled type 2 diabetes patients. They exhibited the longest CC length of the RLL (p = 0.04) as well as an enlarged main portal vein (p = 0.04). Hepatic artery resistive index (RI) was higher among controlled type 2 diabetes patients (p = 0.04). These differences were not attributed to fatty infiltration. Non-controlled type 2 diabetes patients exhibited significantly higher alanine aminotransferase, lower high-density lipoprotein cholesterol, and higher triglyceride levels, than in non-type 2 diabetes patients. Longitudinal sonography may provide valuable diagnostic information in the management of type 2 diabetes.
对女性糖尿病患者和非糖尿病患者的肝脏右叶头尾径（CC）长度、肝脏质地、门静脉主干大小以及肝动脉血流动力学进行了超声评估。采用了单向方差分析、Tukey事后检验以及带有Dunn事后检验的Kruskal-Wallis检验。在未控制的2型糖尿病患者中检测到肝脏解剖结构存在无症状差异。他们的肝脏右叶头尾径最长（p = 0.04），同时门静脉主干增粗（p = 0.04）。在控制的2型糖尿病患者中，肝动脉阻力指数（RI）更高（p = 0.04）。这些差异并非由脂肪浸润所致。与非2型糖尿病患者相比，未控制的2型糖尿病患者的丙氨酸转氨酶显著更高，高密度脂蛋白胆固醇更低，甘油三酯水平更高。纵向超声检查可能为2型糖尿病的管理提供有价值的诊断信息。
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