MRI门静脉造影血液动力学改变在预测恶性肝病预后的作用  

Effect of MRI Portal Vein Hemodynamic Changes in Predicting Malignant Liver Disease

作　　者：付在红 FU Zai-hong(Radiology Department of Henan Electric Power Hospital, Zhengzhou 450000, Chin)

机构地区：[1]河南电力医院放射科,郑州450000

出　　处：《影像技术》2017年第1期26-29,共4页Image Technology

摘　　要：目的:探讨MRI门静脉造影血液动力学改变在预测恶性肝病预后中的作用。方法:随机选取2008年1月-2010年4月我院肝胆外科收治的原发性肝癌患者100例,全部患者均行MRI门静脉造影(三维动态增强磁共振血管成像;3D DCE MRA)检查,按照检查结果显示出门静脉系统受累的患者为阳性组50例,门静脉系统未受累的患者为阴性组50例,全部患者均行手术治疗。对比分析两组患者的门静脉血液动力学改变情况并随访两组患者术后的1年、3年、5年生存率情况。结果:经过MRI门静脉造影显示有门静脉受累的阳性组,其预后的3年生存率为76.3%、5年生存率为41.1%,两项指标均明显低于阴性组的89.9%和57.4%,两者差异具有统计学意义(P<0.05)。结论:MRI门静脉造影血液动力学改变能够较好的预测恶性肝病患者的预后。Objective： To analysis the Effect of MRI portal vein hemodynamic changes in predicting malignant liver disease. Methods： 100 cases were collected randomly from the January 2008 to April 2010. All patients underwent MRI portal venography （three-dimensional dynamic contrast enhanced MR angiography; 3D DCE MRA） examination, according to the test results show that out of venous system involvement is a positive group of 50 patients, patients with portal venous system uninvolved negative group of 50 patients, all patients underwent surgery. Hemodynamic comparative analysis of the two groups of patients with portal changed the situation and follow-up of two groups of patients after lyear, 3year, 5year survival rate. Results： MRI angiography showed the portal vein involvement in positive group, the prognosis of 3year survival rate was 76.3%, 5year survival rate was 41.1%, two indicators are significantly lower than the 89.9% and 57.4% negative group, the difference was statistically significant （P〈0.05）. Conclusions： The hemodynamics MRI portography change can predict the prognosis of patients with malignant liver disease better.

关 键 词：MRI 门静脉造影 恶性肝病 预后 

分 类 号：R445.2[医药卫生—影像医学与核医学] R814.43[医药卫生—诊断学]