[1]龚红霞,邱晶.多层螺旋CT门静脉成像在肝硬化中医证型诊断中的应用价值[J].西部中医药,2018,31(12):147-150.
　GONG Hongxia,QIU Jing.Application Value of Multilayer Spiral CT Portal Vein Imaging in the Diagnosis of TCM Patterns of Liver Cirrhosis[J].Western Journal of Traditional Chinese Medicine,2018,31(12):147-150.
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多层螺旋CT门静脉成像在肝硬化中医证型诊断中的应用价值
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年12期
页码:
147-150
栏目:
出版日期:
2018-12-15

文章信息/Info

Title:
Application Value of Multilayer Spiral CT Portal Vein Imaging in the Diagnosis of TCM Patterns of Liver Cirrhosis
文章编号:
1004-6852(2018)12-0147-04
作者:
龚红霞1，邱晶2
1 无锡市第五人民医院，江苏 无锡 214000； 2 苏州市广济医院影像科
Author(s):
GONG Hongxia1, QIU Jing2
1 Wuxi Municipality the Fifth People′s Hospital, Wuxi 214000, China; 2 Imaging Department, Wuzhou Municipality Guangji Hospital
关键词:
肝硬化; 中医证型; 多层螺旋CT门静脉成像
Keywords:
liver cirrhosis;  TCM patterns;  multilayer spiral CT portal vein imaging
分类号:
R541
摘要:
目的：探讨多层螺旋CT门静脉成像在肝硬化中医证型诊断的应用价值。方法：将80例患者根据中医分型分为气滞瘀阻型组，其他类型组，每组40例。所有患者均使用西门子64排128层螺旋CT进行肝脏增强扫描，比较2组门脉强化峰值延长时间、肝脏最大密度差值和门静脉图像，以及兴趣区灌注相关参数，如门静脉灌注量、肝脏动脉灌注量及总肝灌注量变化情况。结果：门脉强化峰值延长时间、肝脏最大密度差值治疗后2组比较，差异有统计学意义(P＜0.05)。门静脉分支积分、轮廓边缘积分治疗后2组比较，差异有统计学意义(P＜0.05)。门静脉灌注量、肝脏动脉灌注量及总肝灌注量治疗后2组比较，差异有统计学意义(P＜0.05)。结论：多层螺旋CT门静脉成像检查可于一定程度上反映不同中医类型肝硬化特点，从而作为肝硬化辨证分型依据。
Abstract:
Objective：To explore the application value of multilayer spiral CT portal vein imaging in the diagnosis of TCM patterns of liver cirrhosis. Methods：Eighty patients were separated into the group of Qi stagnation and stasis blocking pattern and the group of other patterns according to TCM patterns, 40 cases each group. All the patients accepted enhanced liver scanning using 64-row 128-layer spiral CT. The changes of the extended time of portal enhancement peak value, liver maximum density difference, portal vein image and perfusion-related parameters of region of interest such as total hepatic perfusion, hepatic arterial perfusion, portal vein perfusion and others were compared between both groups. Results: The difference had statistical meaning in the comparison of the extended time of portal enhancement peak value and liver maximum density difference between both groups after treating(P＜0.05). The difference was statistically significant in the comparisons of portal branch integral and contour edge scores between both groups after treating(P＜0.05). The difference showed statistical meaning in the comparison of total hepatic perfusion, hepatic arterial perfusion, portal vein perfusion between both groups after treating(P＜0.05). Conclusion：Multilayer spiral CT portal vein imaging could reflect the features of liver cirrhosis of different TCM patterns to some extent, therefore to provide the reference for syndrome differentiation of liver cirrhosis.

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备注/Memo

备注/Memo:
收稿日期：2018-03-27 作者简介：龚红霞(1987—),女,住院医师。研究方向：影像诊断。
更新日期/Last Update: 2018-12-15