摘要
目的评估改良肝尾叶与右叶比值(C/RL-r)在肝炎后肝硬化CT诊断中的价值。方法收集行CT扫描的肝炎后肝硬化病例120例(Child-Pugh分级:A级40例,B级46例,C级34例)和正常对照组120例,回顾分析其CT平扫及增强检查图像。由3名经验丰富的放射科医师测量计算改良肝尾叶与右叶比值,分别比较该比值在肝硬化组和正常对照组之间的总体差异及肝硬化Child-Pugh分级各组间的差异。结果肝硬化组改良尾叶与右叶比值(C/RL-r)大于对照组(P<0.05);肝硬化Child-Pugh各分级组间亦有差异(P<0.05),Child-Pugh B级组>C组和A组(P<0.05),Child-Pugh C组>A组(P<0.05)。结论 C/RL-r在肝炎后肝硬化CT诊断中具有重要价值,但与肝硬化严重程度并不完全一致。
Objective To analyze the value of modified caudateright lobe with use of the right portal vein to set the lateral boundary in CT diagnosis of viral hepatitis cirrhosis and its correlation with Child-Pugh grading of liver cirrhosis. Methods One hundred patients with viral hepatitis cirrhosis, including 30 cases of Child Pugh A, 36 cases of Child Pugh B and 34 cases of Child Pugh C, and 100 normal controls were performed CT scan. Plain and enhanced CT images of 200 patients were retrospectively analyzed. Three experienced physicians measured C/RLr and compared the differences between the two groups and that of three Child Pugh staging groups. Results The C/R-r for the patients with cirrhosis of liver were higher than the control group （P＜0.05）. A difference in C/RL-r was found between the three Child Pugh staging groups （P﹤0.05）. The C/RLr for Child B patients was higher than that of Child A and Child C patients（P﹤0.05, P﹤0.05）. The C/RL-r for Child C patients was higher than that of Child A （P＜0.05）.Conclusion Modified caudate-right lobe ratio may has significant value for the CT diagnosis of viral hepatitis cirrhosis, but has no positive correlation with liver function ChildPugh classification.
出处
《西部医学》
2018年第3期442-445,共4页
Medical Journal of West China
关键词
肝尾叶
肝右叶
比值
肝炎后肝硬化
Caudate lobe of liver
Rights lobe of liver
Ratio
Viral hepatitis cirrhosis
