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目的探讨健康体检人员脂肪肝的声像图特征与血脂代谢变化的关系。方法对2005年530例健康体检人员行超声检查诊断并检测其血脂水平,检出306例脂肪肝患者进行对照分析。结果共检出脂肪肝患者306例,约占体检人数的57.7%,306例脂肪肝患者中I型脂肪肝患者112例,II型104例,Ⅲ型83例,Ⅳ型7例,血脂检测水平总胆固醇增高110例,三酰甘油增高136例,224例无脂肪肝者血脂检测均属正常范围,脂肪肝组血脂明显高于无脂肪肝组。结论脂肪肝患者大都伴有高血脂症,主要为三酰甘油增高。
Objective To explore the relationship between the sonographic features of fatty liver and the changes of lipid metabolism in health checkups. [Methods] Ultrasonography was performed on 530 healthy checkups in 2005 to diagnose and detect blood lipid levels. 306 cases of fatty liver were detected and compared. Results A total of 306 cases of fatty liver were detected, accounting for about 57.7% of the total number of physical examinations. Of the 306 fatty liver patients, 112 were type I fatty liver patients, 104 were type II, 83 were type III, 7 were type IV, and lipid levels were detected. Total cholesterol increased in 110 cases, triacylglycerol increased in 136 cases, 224 cases of non-fat liver lipids were within the normal range, fatty liver group was significantly higher than the non-fat liver group. Conclusion Most of the patients with fatty liver are accompanied with hyperlipidemia, which is mainly the increase of triglyceride.