肝硬化肝脏肋单元数与肝功能Child-Pugh分级的关系

发布时间：2018-03-17 21:02

本文选题：肝硬化　切入点：体层摄影术　出处：《中国临床医学影像杂志》2015年10期 　论文类型：期刊论文

【摘要】：目的:探讨肝硬化肝脏CT肋单元数与肝功能Child-Pugh分级关系。方法:选择无占位性病变等引起肝脏形态、大小变化因素的肝脏CT检查者301例,其中肝硬化组174例,慢性肝炎组56例,正常肝脏组71例。按照统一的肋单元评判标准,分析1名影像科医生和2名临床医生判读肝硬化肝脏CT平扫时的最大肋单元数结果,比较三组肝脏CT肋单元数结果以及Child-Pugh分级不同的肝硬化患者之间肋单元数结果,探讨肝硬化肝脏CT肋单元数与Child-Pugh分级关系。结果:3名医生判读结果高度相关;肝硬化组肝脏肋单元数((1.95±2.32)个)总体上少于正常肝脏组((5.55±2.61)个)和慢性肝炎组((5.21±1.89)个);A、B、C各分级的肋单元数分别是(2.96±2.34)个、(1.54±2.17)个、(0.22±0.76)个,各分级之间均有显著性统计学差异,且肝脏肋单元数与肝功能分级呈显著负相关,均有P0.001;肋单元数在2个及以上,Child-Pugh分级大多在A级,肋单元在1个或0个,则Child-Pugh分级大多为B或C级。结论:肝脏肋单元概念容易被理解、运用;应用肝脏最大肋单元数可初步预测肝硬化Child-Pugh肝功能分级,方法简便、直观、实用。
[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 卤2.32)) was less than that in normal liver group (5.55 卤2.61)) and chronic hepatitis group (5.21 卤1.89). The number of rib units in each grade was 2.96 卤2.34 (1.54 卤2.17) and 0.22 卤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.
【作者单位】：湖北省宜昌市夷陵医院肝病科;
【分类号】：R575.2;R816.5

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