640层容积CT增强扫描对酒精性肝病的诊断价值  

Diagnostic Value of 640 Slice Volume CT Enhanced Scanning in Alcoholic Liver Disease

作　　者：姜涛[1] 李波[1] 王凯[1] 葛新然[1] 王金珠[1] 周忠莉[1] 

机构地区：[1]大庆市人民医院CT室,黑龙江大庆163316

出　　处：《中国继续医学教育》2016年第30期59-60,共2页China Continuing Medical Education

摘　　要：目的探讨CT增强扫描对酒精性肝病的诊断价值。方法对36例长期饮酒患者肝脏CT增强扫描结果与化验室结果进行对比。结果 2例男性患者肝/脾CT比值>1,肝功能正常,6例肝脏实质密度均匀,肝内管状系统显示较清晰,肝/脾CT比值≤1.0但>0.7者为轻度脂肪肝,22例肝左叶、右叶或局灶肝组织密度减低,肝内管状系统显示模糊或不清肝/脾CT比值≤0.7但>0.5者为中度脂肪肝;6例患者肝实质密度弥漫性减低,肝内胆管系统湮没在肝实质内肝/脾CT比值≤0.5者为重度脂肪肝。结论 VCT增强扫描为酒精肝患者提供了一种科学的检查手段。Objective To investigate the CT enhanced scan in the diagnosis of alcoholic liver disease value. Methods The results of CT enhanced scanning in the liver of 36 patients with chronic alcohol drinking were compared with the results of the laboratory. Results 2 cases of male patients with liver / spleen CT ratio is〉 1, normal liver function, 6 cases of hepatic parenchymal density, intrahepatic tubular system showed a clear, liver / spleen CT was ≤ 1 but 〉0.7 for mild fatty liver, 22 cases of left hepatic lobe, right lobe or focal liver tissue density decreased, liver in the tubular system show that the fuzzy or liver / spleen CT ratio was ≤ 0.7 but〉 0.5 for moderate fatty liver, 6 cases of patients with diffuse hepatic parenchymal density decreased, intrahepatic bile duct system in liver parenchyma of liver / spleen CT ratio was ≤ 0.5 for severe fatty liver. Conclusion VCT enhanced scanning provides a scientific means of examination for patients with alcoholic liver disease.

关 键 词：酒精肝 VCT增强 肝/脾CT值之比 

分 类 号：R735[医药卫生—肿瘤]