超声在非酒精性脂肪肝与颈动脉粥样硬化相关性中的判断价值
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摘要: 目的:通过超声检测非酒精性脂肪肝(NAFL)患者颈动脉内膜中层厚度(IMT)和斑块形成情况,探讨NAFL与颈动脉粥样硬化(CAS)的相关性。方法:选择175例NAFL患者,按严重程度分为轻度组62例、中度组67例、重度组46例,另选取同期门诊或住院无脂肪肝患者40例作为对照组,行颈动脉彩色多普勒超声检查,比较各组患者颈动脉IMT、粥样硬化斑块及动脉狭窄发生率差异,分析NAFL患者严重程度与颈动脉狭窄的相关性。结果:中、重度组患者的颈动脉IMT高于对照组(P<0.05和P<0.01);NAFL严重程度与颈动脉斑块和狭窄发生率、颈动脉狭窄严重程度均呈正相关关系(P<0.05)。结论:NAFL与CAS密切相关,对于NAFL患者应注意观察CAS及狭窄的可能。
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