CT定量诊断与脂肪肝中医证型的相关性

目的:采用CT定量测定的方法,探讨CT定量诊断与脂肪肝中医证型的相关性。方法:选取113例脂肪肝病例,中医证型分为肝郁脾虚、痰瘀互结、痰湿内阻、肝肾不足、湿热内蕴型,分型后做肝脏螺旋CT扫描,分别测量肝、脾CT值,以肝与脾CT值比值进行中医证型的定量分析。结果:脂肪肝中医证型与脂肪浸润程度关系密切,五个证型之间弥漫型和局灶型脂肪浸润的构成比及肝脾CT值比值有统计学差异(P<0.05),其中弥漫型、轻度脂肪浸润多见于肝郁脾虚型。结论:CT定量诊断与脂肪肝中医证型相关,肝脾CT值比值可以作为区分脂肪肝中医证型的客观性指标之一,判断各证型脂肪浸润程度。

Correlation between syndrome differentiation and CT quantitative diagnosis of fatty liver

Objective: To explore the correlation between syndrome differentiation and CT quantitative diagnosis of fatty liver. Methods: One hundred and thirteen cases of fatty liver verified clinically accepted plain CT scan after syndrome differentiation (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, syndrome of interior dampness-heat), and then the CT values of the liver and the spleen were measured respectively. Results: It was shown that there was a correlation between the syndrome differentiation and the fatty infiltration in the liver. Significant differences of the distribution of fat and the ratio of liver-spleen were found among the five different syndromes (P<0.05). Diffused, mild fatty liver mainly displayed syndrome of stagnation of liver qi and spleen deficiency.Conclusion: Syndrome differentiation of fatty liver is correlated with CT quantitative diagnosis, which can be discriminated by the ratio of liver-spleen.