Gansu Fatty Liver Hospital: What examinations should patients with fatty liver undergo?

Gansu Fatty Liver Hospital What examinations should patients with fatty liver undergo? Experts from Gansu Fatty Liver Hospital Lanzhou Jingangcheng Hospital introduced that the liver maintains a dynamic balance with the processes of digestion, absorption and secretion of fat. If the fat metabolism function of the liver is impaired, the balance of lipids will be imbalanced. When the amount of fat stored in tissue cells exceeds the weight of the liver, or if more than one liver cell becomes fatty, it can be called fatty liver. Gansu Fatty Liver Hospital Lanzhou Jingangcheng Hospital Expert Introduction Health and life. So, what tests are needed for fatty liver?
The tests for fatty liver are divided into laboratory and other auxiliary tests.
. Liver B-ultrasound examination
Liver B-ultrasound examination has the advantages of being economical, rapid, accurate, and non-invasive. It is currently listed as the preferred examination method for fatty liver.
The B-ultrasound manifestation of diffuse fatty liver, and the intensity of the liver echo is greater than the spleen and kidney echo, is called bright liver. The far-field echo of the liver is attenuated and the intrahepatic blood vessels are unclear or slender.
B-ultrasound manifestations of localized fatty liver include a weak echo area with clear edges, which is round or patchy in shape, but has no mass effect, no blood vessel bypassing or interruption, and even the normal extension of the portal vein into the area may be seen. . Localized fatty liver can easily be misdiagnosed as intrahepatic tumors.
.Serum lipid analysis
Neutral fat, total cholesterol, free fatty acids, etc. can all be increased, especially neutral fat (triacylglycerol), which has the most diagnostic value. Cholesterol was elevated in approximately 10 cases, but serum cholesterol concentration was not related to the amount of intrahepatic fat in liver tissue biopsy.
.Liver biopsy
Liver biopsy is the gold standard for diagnosing fatty liver. Liver puncture is advocated under the guidance of B-ultrasound to improve puncture accuracy and minimize liver damage. However, because of its traumatic nature and certain risks, it is difficult for patients to accept it. Currently it is mostly used for differential diagnosis. Fatty liver biopsy specimens show that large fat globules can push the cell nucleus to one side, and the entire liver cell can split to form a fatty cyst. Liver cell necrosis and inflammatory reaction were mild or absent.
.Liver function test
Mild fatty liver, liver function is basically normal. Moderate and severe fatty liver disease manifests as moderate to mild elevation and rare high elevation. Generally, obesity is higher than fatty liver. On the contrary, alcoholic fatty liver is higher than abnormal serum bilirubin and serum cholinease is elevated.
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The accuracy of diagnosing fatty liver is higher than that of B-ultrasound, and it has the significance of diagnosis, classification, quantification and identification of fatty liver. Especially for localized fatty liver, it can be more clearly distinguished from liver cancer, hepatic hemangioma, liver abscess, etc. However, its price is higher, and R is more expensive, and its diagnostic advantage for fatty liver is not obvious.
The density of parts affected by fatty liver becomes low, often close to or lower than that of water. The density of the liver in normal people is generally higher than that of the spleen. Once the liver value is lower than the spleen, the liver value can be considered to be low. In the liver infiltrated by fat, clear hepatic blood vessel shadows can be seen, which are like dead branches. The blood vessel shadows are clearer after enhancement. Diffuse fatty liver disease is generally more uniform. Localized fatty liver is more common in the right lobe of the liver, especially in the posterior segment. The liver in the lesion area is relatively plump, and the plot is unevenly reduced. The boundary is blurred and the density of the lesion area is unevenly enhanced after enhancement, and blood vessel shadows can be seen in it.
What must be noted when doing liver puncture is that although liver puncture is not very dangerous, the liver is an important organ after all, and the indications and contraindications must be strictly controlled. In particular, the following conditions are contraindications for liver biopsy: a large amount of ascites and coagulopathy, congestive hepatomegaly, acute inflammation in the right chest and under the diaphragm, suspected hepatic echinococcosis or hepatic hemangioma.
Experts from Lanzhou Jingangcheng Hospital of Gansu Fatty Liver Hospital introduced Mr. Li, 20, who has no history of drinking and has a body mass index of 3. A year ago, B-ultrasound and examination revealed fatty liver, accompanied by hypertension, hyperlipidemia and diabetes, and he had abnormal liver function. Later, under the guidance of a doctor, through diet control and physical exercise, supplemented by liver-protective treatment, the weight dropped by approximately 10% within a year, and the liver function returned to normal, showing that liver fat deposition was significantly improved than before. Gansu Fatty Liver Hospital Lanzhou Jingangcheng Hospital