急性胰腺炎肝损害的肝实质密度变化研究  

Study on the liver density changes in parenchyma about liver injury induced by acute pancreatitis

作　　者：区俊兴[1] 张得旺[1] 尹日开 金新安[1] 蔡淑芳[1] 马壮[1] 

机构地区：[1]广东医学院附属厚街医院放射科,东莞230945 [2]东莞市厚街镇社区卫生服务中心环冈社区,东莞523948

出　　处：《齐齐哈尔医学院学报》2016年第3期347-349,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨急性胰腺炎(AP)肝损害的肝实质密度变化。方法我们回顾49例AP肝损害患者发病期间及治愈后的MSCT图像及实验室检查资料,测量肝实质密度,并总结分析。结果发病初肝实质平均CT值为(36.2±15.2)Hu,复查时平均CT值为(58.1±6.6)Hu,两者比较有统计学意义(P<0.01);CT值减低程度与肝功能指标呈正相关(P<0.01);弥漫均匀型ALT、AST与节段型比较,差异均有统计学意义(P<0.05)。结论 AP肝损害表现为肝实质密度减低,肝实质密度越低、受累范围越大,肝脏损害越明显。Objective To investigate the liver density changes in parenchyma about liver injury induced by acute pancreatitis（ AP）.Methods The data of MSCT images and laboratory test of 49 patients with acute pancreatitis during the illness and after cured,were retrospectively reviewed.Liver density was measured to analyze.Results At the beginning of disease,CT value of liver parenchyma was（58.1 ± 6.6） Hu,it was（ 36.2±15.2I） Hu when reviewed,the difference was statistically significant（P0.01）.The CT attenuations for liver density was positively correlated the liver function and injury index ALT or AST（r=0.870 or r=0.610,P0.01）.The index of ALT or AST in suffusion uniformity type group were higher than those in segment type group（ P 0.05）.Conclusions Liver density decreases at initial in liver injury induced by AP,the liver injury is correlated to the liver density and range.

关 键 词：急性胰腺炎 肝损害 弥漫 节段 MSCT 

分 类 号：R576[医药卫生—消化系统]