肝脏体积和密度变化对急性胰腺炎肝脏损伤的诊断意义  

Clinical significance of the liver volume and density changes about liver injury induced by acute pancreatitis

作　　者：陈维亮 雷继晓[2] 李善杰 许伟 

机构地区：[1]371医院放射科,河南新乡453000 [2]解放军总医院第一附属医院,北京100037

出　　处：《实用医药杂志》2013年第6期481-482,共2页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨肝脏体积和密度变化在急性胰腺炎肝脏损伤中的意义。方法笔者回顾性分析所在医院2009-01—2012-03收治的187例急性胰腺炎患者患病期间及治愈后肝脏CT图像,测量肝脏体积以及肝脏密度变化,并总结分析。结果 86例急性胰腺炎患者患病期间肝脏CT图像,其中治疗前肝脏体积增大32例,肝脏体积为(1604±315)cm3,治疗后体积明显缩小,体积为(1129±297)cm3,体积增大率约42.07%;治疗前肝脏密度减低65例,肝脏密度为(46±7)Hu,治疗后CT图像显示肝脏密度逐渐恢复正常,肝脏密度为(58±6)Hu,密度减低率约20.69%。结论通过CT平扫加增强扫描测量肝脏体积和密度对急性胰腺炎所致肝脏损伤有重要的诊断意义。Objective To explore the clinical significance of the liver volume and density changes on the liver injury induced by acute pancreatitis. Methods A retrospective analysis of liver CT images of 187 patients with acute pancreatitis during the illness and after cured from January 2009 to March 2012 was done; Measured liver volume and liver density changes were analyzed. Results The liver CT images of 86 patients during the illness were as liver volume increased of 32 cases untreated, volume was 1604±315 cm3, but volume was significantly reduced after treatment, volume was 1129±297 cm3, volume increase rate was about 42.07%; Liver density reduced of 65 cases untreated were as liver density was 46±7 Hu, CT image showed the liver density gradually returned to normal level after treatment, density was 58±6 Hu, the rate of density reduced was 20.69%. Conclusion Liver volume and density changes showed by CT scan and measurement has important diagnostic significance in acute pancreatitis induced liver injury.

关 键 词：急性胰腺炎 肝脏损伤 胰腺炎性肝损伤 CT成像 肝脏体积密度 

分 类 号：R576[医药卫生—消化系统] R575[医药卫生—内科学]