Navegando por Assunto "Ultrassonografia"
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Item A importância da ultrassonografia no diagnóstico da doença hepática gordurosa não alcóolica(Centro Universitário do Estado do Pará, 2020) Mendes Netto, Ataíde José; Rocha, Everton Roberto de Castro; Silva, Flavio Tavares Freire da; http://lattes.cnpq.br/1386374444157946; Rodrigues, Ana Paula Guimaraes; http://lattes.cnpq.br/8714469084529838; Caldato, Cassio; http://lattes.cnpq.br/7526204330567369Introduction: Non-alcoholic fatty liver disease is considered the most common cause of liver disease in the world, being also a hepatic manifestation of the metabolic syndrome. In this context, the objective of this study was to determine the prevalence of non-alcoholic hepatic steatosis diagnosed by ultrasound in patients seen at an outpatient clinic of a Higher Education Institution in the city of Belém - PA. Methodology: Descriptive, documentary and cross-sectional study with a quantitative approach carried out with 115 patients who underwent abdominal ultrasound at the Centro de Especialidades Médicas of Centro Universitário do Pará in 2019. The association between metabolic syndrome and non-alcoholic liver steatosis was assessed by the test Fisher's exact, considering p≤0.05 statistically significant. Results: Most patients were female (71.3%), aged between 50 and 69 years old (53%), brown (90.4%) and married or in a stable relationship (41.7%). There was a high prevalence of obese patients (43.5%) with arterial hypertension (69.6%) and diabetics (32.2%). The prevalence of non-alcoholic hepatic steatosis was 72.2%, statistically associated with the presence of metabolic syndrome (p = 0.0001), where 89.1% of patients who had this syndrome had non-alcoholic hepatic steatosis. Conclusion: There was a high prevalence of non-alcoholic hepatic steatosis among patients, associated with metabolic syndrome. Therefore, it is emphasized that the early diagnosis of hepatic steatosis helps to monitor individuals with a chance of developing metabolic syndrome. In addition, ultrasonography proved to be a sensitive and effective test for the detection of hepatic steatosis, given the high prevalence of this disorder in the population studied.Item Perfil epidemiológico dos pacientes atendidos no ambulatório de ultrassonografia do Centro de Especialidades Médicas do CESUPA no segundo semestre de 2019(Centro Universitário do Estado do Pará, 2021) Rodrigues, Giovanna Naomi Taniguchi; Pires, Luiza Dalla Bernardina Flexa Ribeiro; Silva, Flavio Tavares Freire da; Lima, Jackson Cordeiro; http://lattes.cnpq.br/5898669844844564; http://lattes.cnpq.br/1386374444157946Introduction: Ultrasonography is the most widely used test because, in addition to being non-invasive and low-cost, it has immediate results. Depending on the examiner, it can elucidate diagnostic doubts present during the physical examination of the outpatient patient or follow up on the evolution and post-operative diagnoses already elucidated. Objective: Identify the ultrasound epidemiological profile of care provided at the Medical Specialties Center of a private university in Belém during the second half of 2019. Methodology: Descriptive and cross-sectional study based on data collected at CESUPA's Medical Specialties Center, using 150 medical records using a form highlighting age, sex, quantity and type of examination performed during the consultation. Results: The majority of women in the age group of 50 to 69 years old stood out, with only 10 patients out of the total having undergone two consecutive exams, the most found topographies were total abdomen, thyroid, kidneys and urinary tract and breast, respectively. Of the 150 patients studied, only 31 did not present any imaging abnormalities, the other abnormal findings were mild hepatic steatosis, thyroid nodule and tendinopathy in ascending order. Conclusion: Although there is no difference between ultrasound findings both between ages and in relation to the sex of the patients analyzed by the study, it is noted the importance of the aid of complementary exams for the elucidation of diagnosis and monitoring of chronic diseases.Item Perfil epidemiológico dos principais achados ecográficos associados a afecções hepatobiliares em pacientes atendidos em um Centro de Especialidades Médicas(Centro Universitário do Estado do Pará, 2021) Rodrigues, Ana Carolina Conde; Moraes, Hanna Camila Alencar de; Silva, Flavio Tavares Freire da; http://lattes.cnpq.br/1386374444157946Background: Abdominal ultrasound is a sensitive and relevant exam in the diagnosis of alteration in the liver, gallbladder, extra and intrahepatic bile ducts, which contributes to the diagnosis of hepatobiliary disorders and to the determination of possible surgical difficulties. Objective: Define the epidemiological profile of the main echographic findings associated with hepatobiliary disorders at a medical specialties center in Belém, PA, Brazil. Methodology: Cross-sectional, statistical and descriptive study, with quantitative approach, based on medical records analysis of patients who were under medical care at the ultrasound outpatient clinic of the Centro de Especialidades Médicas – CEMEC of the Centro Universitário do Estado Pará – CESUPA and underwent abdominal ultrasound between August and December 2019. Age, sex and main echographic findings were analyzed. The BioEstat 5.5 software was used for statistical analysis and the tables and graphs were executed in Microsoft Word and Excel software. p < 0,05 was adopted as significance level. Results: A total of 205 patients were evaluated (133 women and 72 men). There were 122 altered exams (59.5%), 83 female (70.5%) and 36 male (29.5%). The conditions most frequently described were mild hepatic steatosis (37.1%), followed by moderate hepatic steatosis (10.7%) and cholelithiasis (9.3%) The median age patient’s was 51 years. Conclusion: Abdominal ultrasound is a reliable method in the diagnosis of hepatobiliary disorders due to its high sensitivity and specificity regarding the pathologies that affect this tract. Its performance helps in the diagnosis and monitoring of patients so that they do not progress with complications and do not undergo surgical procedures late.