脂肪肝中医辨证与CT分型相关性研究

Research Progress of Relation between Fatty Liver Typing of Syndrome Differentiation and CT manifestations

目的:探讨脂肪肝的影像学表现与中医辨证分型之间关系。方法:将106例脂肪肝患者进行中医辨证分型后采用螺旋CT扫描的方法,尽量避开伪影及血管影,在肝右叶最大层面用直径1 cm的圆形兴趣区测量肝脏CT值和同一层面脾脏CT值,以肝/脾的CT值比值进行定量分析。结果:106例患者中不同中医证型与CT分度之间存在差异(P<0.05)。结论:脂肪肝的影像学表现与中医证型之间存在一定相关性,脂肪肝的CT分型可作为区分中医辨证分型的客观参考指标之一。

Objective：To discuss the correlation between syndrome differentiation and imaging manifestations of hepatic fatty. Methods：Fifty one cases of hepatic fatty accepted plain CT scan,as far as possible avoid artifacts and vessels,in the right hepatic lobe largest level measured with 1 cm diameter circular interest area liver CT value and the spleen＇s CT values at the same level. Then analyze the CT value ratio between liver and spleen. Results：106 cases of patients with different TCM syndrome types and differences between CT dividing（P〈0.05）. Conclusion：Syndrome differentiation of fatty liver is correlated with imaging manifestations and it can be discriminated by the ratio of liver spleen.