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肝炎肝硬化患者肝脏MRI分数评定及其临床意义
引用本文:李振芝,王晓华,王黎明,刘芹,乔秀丽.肝炎肝硬化患者肝脏MRI分数评定及其临床意义[J].实用肝脏病杂志,2010,13(2):107-108,138.
作者姓名:李振芝  王晓华  王黎明  刘芹  乔秀丽
作者单位:1. 山东省威海市立医院影像科,264200
2. 山东省威海市立医院消化内科,264200
摘    要:目的探讨肝炎肝硬化患者肝脏MRI分数与Child-Pugh分级之间的关系。方法48例肝炎肝硬化病人均进行肝脏MRI平扫检查,观察测量肝脏长径、腹水厚度、侧枝循环数目等参数,并与Child-Pugh分级进行相关性分析。结果Child-Pugh分级与侧枝循环数目、腹水厚度呈显著正相关(P0.01),与肝脏长径呈显著负相关(P0.05)。肝脏MRI分数与Child-Pugh分级呈显著正相关(r=0.935,P0.01);运用肝脏MRI评分系统区分Child-Pugh A级与其他级别的肝硬化,其准确度、敏感性、特异性分别为93.8%、95.2%及92.6%。结论基于侧枝循环数目、腹水厚度及肝脏长径三项指标的肝脏MRI评分系统,可良好地运用于评估肝硬化的临床严重程度。

关 键 词:肝炎肝硬化  磁共振成像  肝功能评价

Analysis On the correlation between liver MRI scores and clinical severity in viral hepatitis-induced cirrhosis
LI Zhenzhi,WANG Xiaohua,WANG Liming,et al..Analysis On the correlation between liver MRI scores and clinical severity in viral hepatitis-induced cirrhosis[J].Journal of Clinical Hepatology,2010,13(2):107-108,138.
Authors:LI Zhenzhi  WANG Xiaohua  WANG Liming  
Institution:LI Zhenzhi,WANG Xiaohua,WANG Liming,et al.Department of Radiology,Municipal Hospital,Weihai 264200,China
Abstract:Objective To analyze the relationship between liver MRI scores and Child-Pugh grades.Methods Liver MRI plain scans were performed in 48 patients with rival hepatitis-induced cirrhosis.Parameters of the length of liver,the thickness of ascites and the presence of collaterals were measured.The correlation were assessed between these parameters and Child-Pugh grades.Results The thickness of ascites and the number of collaterals were significantly and positively correlated with Child-Pugh grades(P<0.01).The len...
Keywords:Liver cirrhosis  Magnetic resonance imaging  Liver function evaluation  
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