多层螺旋CT诊断乙肝后肝硬化的运用与临床价值分析

目的分析多层螺旋CT在乙肝后肝硬化诊断中的运用与临床价值。方法选取2018年2月至2019年6月于本院诊治的43例乙肝后肝硬化患者为研究对象(观察组),选取同期43例无肝脏病变或病史的健康志愿者为对照组。两组均采用多层螺旋CT检查,计算肝脏体积,分析肝脏血供情况,观察其诊断准确性。结果观察组患者的平均肝脏体积显著小于对照组,Child-Pugh分级中A、B、C级患者的肝脏体积呈递减趋势,差异具有统计学意义(P<0.05)。观察组主动脉TDC峰值与对照组比较差异无统计学意义,门静脉与肝脏TDC峰值显著低于对照组,差异有统计学意义(P<0.05)。多层螺旋CT对不同Child-Pugh分级患者的诊断准确性均达90%以上,整体诊断准确性为93.02%。结论多层螺旋CT对于乙肝后肝硬化具有良好的诊断价值,可通过计算肝脏体积,观察肝脏血供情况判断患者肝功能,为疾病诊断、分级和治疗提供有力依据。

The application and clinical value of MSCT in the diagnosis of liver cirrhosis after hepatitis

Objective To analyze the application and clinical value of MSCT in the diagnosis of liver cirrhosis after hepatitis B.Methods From February 2018 to June 2019,43 patients with posthepatitic cirrhosis treated in our hospital were selected as the study object(observation group),and 43 healthy volunteers without liver disease or history were selected as the control group at the same time.The patients and volunteers were examined by MSCT,the volume of liver was calculated,the blood supply of liver was analyzed,and the diagnostic accuracy was observed.Results The average liver volume of the observation group was significantly smaller than that of the control group,and the liver volume of the children Child-Pugh A,B and C patients showed a decreasing trend,the difference was statistically significant(P<0.05).There was no significant difference between the observation group and the control group in the TDC peak of aorta,and the TDC peak of portal vein and liver was significantly lower than that of the control group(P<0.05)The accuracy of MSCT in the diagnosis of different child Pugh grades was more than 90%,and the overall accuracy was 93.02%.Conclusion MSCT has a good diagnostic value for liver cirrhosis after hepatitis B.It can be used to calculate the volume of liver and observe the blood supply of liver to judge the liver function of patients,which provides a strong basis for disease diagnosis,classification and treatment.