中国医学前沿杂志（电子版）2018，Vol.10Issue(3)：36-39,4.DOI:10.12037∕YXQY.2018.03-05
多层螺旋CT门静脉成像联合CT肝脏体积测定对评价肝硬化门静脉高压症患者肝硬化程度及预后的价值研究
To explore the value of multi-slice spiral CT portal vein imaging combined with CT liver volume determination in evaluating the degree of liver cirrhosis and prognosis of patients with portal hypertension
摘要
Abstract
Objective To explore and analyze the value of multi-slice spiral CT portal vein imaging combined with CT liver volume determination in evaluating the degree of liver cirrhosis and prognosis of patients with portal hypertension. Method From June 2015 to June 2016, 128 patients who underwent multislice spiral CT portal vein imaging and CT liver volume measurement were selected as the subjects. 68 patients with cirrhosis of the portal hypertension were included in case group, and 60 healthy person with normal liver function, no history of liver disease and no portal hypertension were included in control group. The changes of portal vein branch display, liver volume, main portal vein, splenic vein right branch of hepatic portal vein, left branch of hepatic portal vein and left gastric vein were compared between the two groups, according to the clinical prognosis, they were divided into death group (28 cases) and survival group (40 cases). The differences of the above indexes between the two groups were compared. Result The diameter of main portal vein, splenic vein, right branch of hepatic portal vein and left branch of hepatic portal vein of patients in case group were significantly larger than those in control group (P<0.05), and the liver volume of patients in case group was significantly smaller than that of control group (P<0.05). With the increase of Child-Pugh, the diameter of main portal vein, splenic vei, right branch of hepatic portal vein and left branch of hepatic portal vein of patients increased significantly in case group (P<0.05), while the liver volume decreased significantly (P<0.05); the diameter of left gastric vein and the number of esophageal varicose section increased significantly (P < 0.05). The differences of prognostic indicators among different patients were compared: the diameter of main portal vein splenic vei, right branch of hepatic portal vein and left branch of hepatic portal vein of patients in survival group were significantly smaller than those in death group (P<0.05), and the liver volume of patients in survival group was significantly larger than that of death group (P<0.05). Conclusion Multi-slice spiral CT portal vein imaging combined with CT liver volume determination is of important clinical value in evaluating the degree of liver cirrhosis in patients with portal hypertension, and has a certain predictive value for the patients' clinical prognosis.关键词
多层螺旋CT/肝脏体积测定/门静脉高压/肝硬化/预后Key words
Multi-slice spiral CT/Liver volume determination/Portal hypertension/Liver cirrhosis/Prognosis引用本文复制引用
魏雪,张光勇,刘娇..多层螺旋CT门静脉成像联合CT肝脏体积测定对评价肝硬化门静脉高压症患者肝硬化程度及预后的价值研究[J].中国医学前沿杂志（电子版）,2018,10(3):36-39,4.基金项目
四川省基层卫生事业发展研究(SJWF1482) （SJWF1482）
