多层螺旋CT门静脉成像在肝硬化中医证型诊断的应用价值  

The Application Value of Multi-slice Spiral CT Portal Vein Imaging in Traditional Chinese Medicine Syndrome Diagnosis of Liver Cirrhosis

作　　者：胡天翔[1] HU Tianxiang(Radiology Department, the Fourth Affiliated Hospital of China Medical University, Liaoning Province, Shenyang 110032, China)

机构地区：[1]中国医科大学附属第四医院放射线科

出　　处：《中国中医药现代远程教育》2019年第12期51-53,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的对多层螺旋CT门静脉成像在肝硬化中医证型诊断的应用价值进行分析探讨。方法本次将2017年3月—2018年3月收治的肝硬化患者72例,进一步根据中医辨证分型分为气滞瘀阻型组和其他类型组,各36例。2组均采取多层螺旋CT门静脉成像方法进行诊断,进一步比较2组诊断效果。结果在峰值延长时间上,气滞瘀阻型组明显长于其他证型组,2组数据差异具备统计学意义(P<0.05);在肝脏最大密度差值上,气滞瘀阻型组明显大于其他证型组,2组数据差异具备统计学意义(P<0.05)。在门静脉分支积分与轮廓边缘积分方面,气滞瘀阻型组明显高于其他证型组,2组数据差异具备统计学意义(P<0.05)。在门静脉灌注量、肝脏动脉灌注量、总肝灌注量三项指标水平方面,气滞瘀阻型组与其他证型组比较均明显更低,2组数据差异具备统计学意义(P<0.05)。结论在临床中,针对肝硬化患者,采取多层螺旋CT门静脉成像方法诊断,能够对患者不同的中医证型情况反映出来,从而为进一步的临床诊疗工作提供客观、科学的参考凭据;因此,多层螺旋CT门静脉成像方法值得采纳及应用。Objective To analyze and discuss the application value of multi-slice spiral CT portography in the diagnosis of TCM syndromes of liver cirrhosis. Methods Seventy-two patients with cirrhosis admitted to our hospital from March 2017 to March 2018 were divided into two different groups according to TCM syndrome differentiation. Among them, 36 cases were qi stagnation type group and 36 cases were other type group. The two groups were diagnosed by multi-slice spiral CT portal vein imaging, and the diagnostic effect of the two groups was further compared. Results In the prolongation time of peak value, the group of qi stagnation and stasis was significantly longer than other syndromes, and the difference between the two groups had statistical significance (P < 0.05). In the difference of maximum liver density, the group of qi stagnation and stasis was significantly larger than other syndromes, and the difference between the two groups had statistical significance (P < 0.05). In terms of portal vein branch integral and contour edge integral, the qi stagnation group was significantly higher than other syndrome groups, and the difference between the two groups was statistically significant (P < 0.05). In terms of portal vein perfusion, hepatic artery perfusion and total hepatic perfusion, the qi stagnation and stagnation group was significantly lower than other syndrome groups, and the difference between the two groups was statistically significant (P< 0.05). Conclusion In clinic, multi-slice spiral CT portography can reflect the different TCM syndromes of patients with liver cirrhosis, so as to provide objective and scientific reference evidence for further clinical diagnosis and treatment. Therefore, multi-slice spiral CT portography is worthy of adoption and application.

关 键 词：多层螺旋CT 门静脉成像 肝硬化 中医证型 诊断 臌胀 

分 类 号：R259[医药卫生—中西医结合] R816.5[医药卫生—中医内科学]