CT肝脏体积测量技术在肝硬化患者肝脏功能Child-Pugh分级中的应用研究

目的探讨CT肝脏体积测量技术在肝硬化患者肝脏功能Child-Pugh分级中的应用价值。方法将2012/5至2015/5来我院进行检查并确诊的85例肝硬化患者纳入本研究,按照患者肝脏功能Child-Pugh分级分为A级组30例、B级组29例和C级组26例。选取同期我院体检中心体检的60例健康人作为对照组。4组入选者均进行CT肝脏扫描,比较肝硬化组患者与对照组肝脏各区域体积、不同Child-Pugh分级肝硬化患者肝脏体积以及健康人不同年龄肝脏体积差异。结果肝硬化组患者左外叶和尾叶体积明显高于对照组,左內叶、右前叶、右后叶及总体积均明显低于对照组,有统计学差异(P0.05);肝硬化患者随着Child-Pugh分级升高肝脏体积呈明显递减趋势,三组间对比,有统计学差异(P0.05);对照组随年龄增长肝脏体积呈明显递减趋势,三组间对比,有统计学差异(P0.05)。结论肝硬化患者肝脏体积缩小程度与Child-Pugh分级呈负相关,CT肝脏体积测量对患者肝脏功能Child-Pugh分级具有重要参考价值。

Research on the Liver Function Child-Pugh Classiifcation for the Patients with Cirrhosis of Liver by CT Liver Volume Measurement Techniques

Objective To explore the application on the liver function Child-Pugh classification for the patients with cirrhosis of liver by CT liver volume measurement techniques.Methods 85 cases of patients with cirrhosis of liver were divided into group A(30 cases), group B(29 cases) and group C(26 cases) according to liver function Child-Pugh classification. 60 cases of healthy person were researched as the control group. The volume in each region of the liver, different Child - Pugh, hierarchical volume in patients with liver cirrhosis, healthy liver volume difference between different age were compared. Results The left lateral external lobe of liver, caudate lobe for the patients with cirrhosis of liver were higher than the control group(P<0.05). The left lobe, right anterior lobe, right rear leaf and total volume for the patients with cirrhosis of liver were lower than the control group(P<0.05). The Child - Pugh, classification of patients with liver cirrhosis liver volume was significantly decreasing trend(P<0.05); The liver volume was significantly decreasing trend along with the age growth(P<0.05).Conclusion It negative correlations patients with cirrhosis liver volume shrink degree and Child-Pugh, it has important reference value CT of the liver volume measurement of liver function in patients with Child-Pugh.