70例急性酒精性肝炎的CT影像分析  

The imaging features in CT of patients with acute alcoholic hepatitis:An analysis of 70 cases

作　　者：张国桥[1] 

机构地区：[1]北京市丰台区铁营医院放射科,北京100078

出　　处：《医学影像学杂志》2009年第3期304-307,共4页Journal of Medical Imaging

摘　　要：目的:探讨急性酒精性肝炎的CT影像特征。方法:回顾性分析经临床、化验、CT综合诊断的70例急性酒精性肝炎病例的CT影像资料;本组病例肝功能化验均无甲、乙肝炎表现。结果:急性酒精性肝炎CT影像表现为:点状、片状低密度急性肝损害征象以及胆汁淤积、肝内胆管扩张,重者可出现肝组织坏死液化、肝肿大。急性酒精性肝炎的并发症有:肝硬化、脾大、脂肪肝、腹水。根据急性肝损害的严重程度,分为轻度39例,中度23例,重度8例。治疗后复查CT,除2例死亡外,其他所有病例的急性肝损害征象可恢复。其并发症酒精性肝硬化为不可逆病变。结论:CT能够显示急性酒精性肝炎的影像学特征。Objective： To evaluate the CT features of acute alcoholic hepatitis. Methods： Spiral CT imaging of acute alcoholic hepatitis was retrospectively analyzed in 70 cases. Laboratory tests of HAV and HBV in all cases were negative.Results： The image features with mild,moderate and severe acute alcoholic hepatitis could be similar. Mild acute alcoholic hepatitis were 39 cases, moderate acute alcoholic hepatitis were 23 cases, and severe acute alcoholic hepatitis were 8 cases. Acute alcoholic hepatitis showed multiple dot, patchy low density shadow, intra-hepatic bile duct dilation. Severe acute alcoholic hepatitis showed hepatomegaly, hepatic tissue putrescence. Syn- drome comprised cirrhosis, fatty liver, splenomegaly, and abdominal cavity dropsy. After treatment, acute fiver damage signs in CT could not be found in all cases except for 2 died patients. Alcoholic cirrhosis was irreversible. Conclusion： The imaging charactefistis of acute alcoholic hepatitis can be showed in CT.

关 键 词：酒精性肝病 肝炎 肝损害 肝硬化 体层摄影术 X线计算机 

分 类 号：R657.3[医药卫生—外科学] R814.42[医药卫生—临床医学]