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脂肪肝的CT定量定性分析与中医证型相关性研究

宫媛媛 张立苹 张洁 蒋根娣

中国中西医结合影像学杂志2012,Vol.10Issue(5):385-387,3.
中国中西医结合影像学杂志2012,Vol.10Issue(5):385-387,3.DOI:10.3969/j.issn.1672-0512.2012.05.001

脂肪肝的CT定量定性分析与中医证型相关性研究

Association between CT qualitative and quantitative analysis and TCM syndrome types of fatty liver

宫媛媛 1张立苹 1张洁 1蒋根娣1

作者信息

  • 1. 北京中医药大学东直门医院放射科,北京,100700
  • 折叠

摘要

Abstract

Objective:To investigate correlationship between diagnosis by CT and TCM syndrome types of the non-alcoholic fatty liver patient on the basis of CT qualitative and quantitative analysis. Methods: The 229 patients of non-alcoholic fatty liver were divided into five groups against five TCM syndromes types, which are syndrome of stagnation of liver qi and spleen deficiency, syndrome of intermingled phlegm and blood stasis,syndrome of phlegm-dampness blocking internally,syndrome of deficiency of liver and kidney and syndrome of interior dampness-heat. All patients had been underwent liver CT scanning and given CT value of liver and spleen. The CT classifications of severity and the ratio of liver and spleen CT value were analysed statistically. Results:CT quantitative classifications were significantly different (P<0. 01) among the different types of traditional chi-nese medicine syndromes,and the ratio of liver and spleen CT value as well(P< 0. 01), which follows the order from the maximum down to the minimum from syndrome of stagnation of liver qi and spleen deficiency,syndrome of intermingled phlegm and blood stasis,syndrome of phlegm-dampness blocking internally,syndrome of deficiency of liver and kidney to syndrome of interior dampness-heat. Conclusion: There is a close correlation between CT quantitative diagnosis and the different traditional chinese medicine syndromes types of the fatty liver. The variety of the degree of fatty infiltration expressed by the CT value conforms with evolution of the etiology and pathogenesis in the TCM syndromes types. So the ratio of liver and spleen CT value could be introduced as a kind of objective index to distinguish the fatty liver syndrome type of traditional Chinese medicine.

关键词

脂肪肝/体层摄影术,X线计算机/诊断/证型

Key words

fatty liver/ tomography,X-ray computed/diagnosis/ syndrome

分类

医药卫生

引用本文复制引用

宫媛媛,张立苹,张洁,蒋根娣..脂肪肝的CT定量定性分析与中医证型相关性研究[J].中国中西医结合影像学杂志,2012,10(5):385-387,3.

基金项目

国家中医药管理局中医药科学技术研究专项课题(编号:06-07LB03). (编号:06-07LB03)

中国中西医结合影像学杂志

1672-0512

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