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Articolul urmator |
872 17 |
Ultima descărcare din IBN: 2023-07-22 19:26 |
SM ISO690:2012 PELTEC, Angela, SCHIPOR, Diana, DUMBRAVA, Vlada-Tatiana, BERLIBA, Elina, TOFAN, Ludmila, ŢURCAN, Svetlana, PROCA, Nicolae, BUGOR, Kalina. Scorul ultrasonografic pentru diagnosticul noninvaziv al steatozei hepatice. In: Sănătate Publică, Economie şi Management în Medicină , 2014, nr. 5(56), pp. 63-66. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 5(56) / 2014 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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Pag. 63-66 | ||||||
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Liver steatosis is defined as fatty infiltration affecting greater than 5% of hepatocytes. Liver steatosis is associated with insulin resistance and the metabolic syndrome. The noninvasive methods of detection and quantification of steatosis includes Ultrasonography, Computer Tomography and Magnetic Resonance Imaging. Aim of the study: We established correlations between clinical, biochemical and imaging parameters in patients with liver steatosis. The study involved 38 patients with hepatic steatosis determined by ultrasound methods. All patients were evaluated anthropometrically, with biological and immunological methods. The degree of steatosis in all patients was assessed according to ultrasound score Hamaguchi. We scored the ultrasonographic findings from 0 to 6 points. As a result, the study subjects consisted of 38 subjects, 18 men (47%) and 20 women (53%). The mean age where 50,2 ± 12,3 year. A total of 27 patients have had chronic viral hepatitis type C (71%) and 8 patients were infected with hepatic virus type B (21%). Among them, 3 patients have had chronic hepatitis type C and B (8%). The mean waist circumference, and body mass index were 89,47 ± 7,70cm and 28 ± 3,37 kg/m2, respectively. We diagnosed liver steatosis of score 2 in 18 (47%), of score 4 in 9 (24%), of score 5 in 7 (18%), in score 6 in 4 (11%) of subjects. Visceral obesity was diagnosed in 14 of subjects (37%). The metabolic syndrome was diagnosed in 23(68%) case. The correlation between the score and visceral fat area was statistically significant, p < 0,001. The majority of patient included in this study was infected with hepatic virus type C. In case of patients with chronic viral hepatitis type C and B, the ultrasonography scoring system could provide accurate information about hepatic steatosis. |
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Cuvinte-cheie Keywords: fatty liver disease, ultrasonography scoring system |
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