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改良肝尾叶与右叶比值在肝炎后肝硬化CT诊断中的价值
金舟,谭承富,丁华
0
(重庆市万州区人民医院放射科,重庆 404100)
摘要:
目的 n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。
关键词:  肝尾叶  肝右叶  比值  肝炎后肝硬化
DOI:
基金项目:
Analysis of the value of modified caudate-right lobe with use of the right portal vein to set the lateral boundary (C/RL-r) in CT diagnosis of viral hepatitis cirrhosis
JIN Zhou,TAN Chengfu,DING Hua
(Department of Radiology,Wanzhou People’Hospital of Chongqing, Wanzhou 404100, Chongqing, China)
Abstract:
Objective To analyze the value of modified caudateright 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/RLr 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/RLr 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 ChildPugh classification.
Key words:  Caudate lobe of liver  Rights lobe of liver  Ratio  Viral hepatitis cirrhosis

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