本文選題：肝硬化　切入點(diǎn)：體層攝影術(shù)　出處：《中國(guó)臨床醫(yī)學(xué)影像雜志》2015年10期 　論文類型：期刊論文

【摘要】：目的:探討肝硬化肝臟CT肋單元數(shù)與肝功能Child-Pugh分級(jí)關(guān)系。方法:選擇無占位性病變等引起肝臟形態(tài)、大小變化因素的肝臟CT檢查者301例,其中肝硬化組174例,慢性肝炎組56例,正常肝臟組71例。按照統(tǒng)一的肋單元評(píng)判標(biāo)準(zhǔn),分析1名影像科醫(yī)生和2名臨床醫(yī)生判讀肝硬化肝臟CT平掃時(shí)的最大肋單元數(shù)結(jié)果,比較三組肝臟CT肋單元數(shù)結(jié)果以及Child-Pugh分級(jí)不同的肝硬化患者之間肋單元數(shù)結(jié)果,探討肝硬化肝臟CT肋單元數(shù)與Child-Pugh分級(jí)關(guān)系。結(jié)果:3名醫(yī)生判讀結(jié)果高度相關(guān);肝硬化組肝臟肋單元數(shù)((1.95±2.32)個(gè))總體上少于正常肝臟組((5.55±2.61)個(gè))和慢性肝炎組((5.21±1.89)個(gè));A、B、C各分級(jí)的肋單元數(shù)分別是(2.96±2.34)個(gè)、(1.54±2.17)個(gè)、(0.22±0.76)個(gè),各分級(jí)之間均有顯著性統(tǒng)計(jì)學(xué)差異,且肝臟肋單元數(shù)與肝功能分級(jí)呈顯著負(fù)相關(guān),均有P0.001;肋單元數(shù)在2個(gè)及以上,Child-Pugh分級(jí)大多在A級(jí),肋單元在1個(gè)或0個(gè),則Child-Pugh分級(jí)大多為B或C級(jí)。結(jié)論:肝臟肋單元概念容易被理解、運(yùn)用;應(yīng)用肝臟最大肋單元數(shù)可初步預(yù)測(cè)肝硬化Child-Pugh肝功能分級(jí),方法簡(jiǎn)便、直觀、實(shí)用。
[Abstract]:Objective: to investigate the relationship between the number of hepatic CT costal units and the Child-Pugh grade of liver function in liver cirrhosis. Methods: a total of 301 cases of hepatic CT examination, including 174 cases of liver cirrhosis and 56 cases of chronic hepatitis, were selected. 71 cases of normal liver group. According to the unified criteria of costal unit evaluation, the results of the maximum number of rib units during CT scan of liver cirrhosis were analyzed by one imaging doctor and two clinicians. The relationship between the number of hepatic CT costal units and the Child-Pugh grade of liver cirrhosis was studied by comparing the results of three groups of liver CT costal units and the results of different Child-Pugh grade patients with liver cirrhosis. Results there was a high correlation between the interpretation results of three doctors and the number of hepatic CT costal units in liver cirrhosis patients with different Child-Pugh grades. The number of costal units in liver cirrhosis group (1.95 鹵2.32)) was less than that in normal liver group (5.55 鹵2.61)) and chronic hepatitis group (5.21 鹵1.89). The number of rib units in each grade was 2.96 鹵2.34 (1.54 鹵2.17) and 0.22 鹵0.76) respectively. There was a significant negative correlation between the number of hepatic costal units and liver function grade (P0.001), and the number of costal units was 2 and above Child-Pugh grade was mostly in grade A, and the number of costal units was 1 or 0. Conclusion: the concept of liver costal unit is easy to understand, and the application of liver maximum costal unit number can be used to predict liver function grading of liver cirrhosis Child-Pugh. The method is simple, intuitive and practical.
【作者單位】： 湖北省宜昌市夷陵醫(yī)院肝病科;
【分類號(hào)】：R575.2;R816.5

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本文編號(hào)：1626457