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多层螺旋CT在肝硬化患者肝静脉造影的临床应用
引用本文:李显忠,庞崃林,杨华,孙清荣. 多层螺旋CT在肝硬化患者肝静脉造影的临床应用[J]. 中国CT和MRI杂志, 2009, 7(4): 40-42
作者姓名:李显忠  庞崃林  杨华  孙清荣
作者单位:1. 四川省甘孜藏族自治州人民医院放射科
2. 重庆市第三军医大学附属新桥医院放射科 400037
摘    要:目的探讨肝硬化患者多层螺旋CT肝静脉造影的合适条件。方法60例-临床确诊肝硬化患者随机分为三组:N1、N2和N3,每组20例,20例年龄相匹配的非肝硬化患者作为对照,N1及对照组造影剂剂量1.5mL/kg,N2及N3剂量为2.5mL/kg,注射速度均为3.5m1/S,N1、N2及对照组肝静脉期扫描时间为70S,N3肝静脉期扫描时间为80S。结果 N1组肝静脉CT值、肝实质CT值及两者差值分别为(121.09±16.78)HU、(95.91±14.16)Hu和(25.18±11.60)Hu,对照组分别为:(160.55±14.27)Hu、(109.20±5.79)Hu和(51.35±12.25)Hu,肝硬化组均明显低于对照组(P〈0.05)。N2组分别为:(130.54±15.31)Hu、(98.55±14.86)Hu和(31.36±12.62)Hu、相对于N1组肝静脉和肝实质的CT值均有一定程度上升,但差别没有显著性(P〉0.05);N3组分别为:(136.92±17.53)Hu、(89.43±15.48)Hu和(43.42±10.71)Hu,相对于N1组肝静脉CT值显著增加,同时肝实质密度轻度降低,两者差值明显提高(P〈0.05)结论联合大剂量持续注射和延迟扫描技术,多层螺旋CT能对肝硬化患者肝静脉作出满意的评价。

关 键 词:体层摄影术  X线计算机  肝静脉  肝硬化  血管造影术

The clinical application of Multi-slice CT venography in patients with liver cirrhosis
LI Xian-zhong,PANG Lai-lin,YANG Hua,et al.. The clinical application of Multi-slice CT venography in patients with liver cirrhosis[J]. , 2009, 7(4): 40-42
Authors:LI Xian-zhong  PANG Lai-lin  YANG Hua  et al.
Affiliation:LI Xian-zhong,PANG Lai-lin,YANG Hua,et al.CT Room,the People's Hospital of Ganzi Tibetan Autonomous Prefecture,Sichuan626000
Abstract:Objective To explore the optimal situation of hapetic vein using multi-slice CT in cirrhosis. Methods 60 patients with liver cirrhosis patients were randomly divided into three groups: N1,N2and N3,each one was 20 cases. 20 cases of age-matched patients without liver cirrhosis served as control group. Iodine contrast agents were used with injection rate of 3.5ml/s, The doses of contrast agent were 1.5 mL/kg in group N1 and control, were 2.5 mL/kg in group N2and N3. The scanning delay time in group N3 was 80s...
Keywords:tomography  X-ray computed  hapetic vein  liver cirrhosis  angiography  
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