脂肪肝的CT诊断50例分析

CT diagnosis of fatty liver in 50 cases

目的分析并探讨脂肪肝CT诊断的特征以及诊断价值。方法对本组通过确诊的50例脂肪肝患者进行CT检查。通过测量患者肝脏CT值,观察并分析肝内血管相对密度的变化情况。结果本组共50例患者,其中轻度脂肪肝20例,其肝脏的CT值为33~58HU,平均为47HU,肝血管湮没者17例;中度脂肪肝患者16例,肝脏CT值19~37HU,平均值为30HU,肝血管反转显示患者11例;14例患者为重度脂肪肝,肝脏CT值3~25HU,平均为8HU,肝血管出现明显反转显示。21例病例为不典型的脂肪肝,其中有肝岛5例6个灶,9例表现为不均匀脂肪肝,8例为局限性脂肪肝。结论 CT是脂肪肝诊断的首选方法。

Objective To analyze and discuss the diagnosis of fatty liver CT features and diagnostic value. Methods Through this group, 50 patients with fatty liver diagnosed patients with CT. By measuring the value of patients with liver CT, observation and analysis of intrahepatic vascular changes in the relative density. Results A total of 50 patients, of which 20 patients with mild fatty liver, the liver CT value of 33 - 58HU, an average of 47HU, 17 cases of liver vascular annihilation; 16 patients with moderate fatty liver, liver CT value of 19 ~ 37HU, average 30HU, hepatic vascular reversal showed that patients in 11 cases; 14 patients with severe fatty liver, liver CT value of 3 - 25HU, average 8HU, hepatic vascular apparent reversal display. Not typical for the 21 cases of fatty liver, included liver island 6 lesions in 5 cases, 9 cases showed inhomogeneous fatty liver, 8 cases of the limitations of fatty liver. Conclusion CT is the preferred method for diagnosis of fatty liver.