CT测量分析肝硬化失代偿期肝脏体积的变化

CT measurement of liver volume in decompensated cirrhosis

目的探讨CT测量分析原发性胆汁性肝硬化(PBC)失代偿期患者肝脏体积变化情况。方法选取PBC失代偿期患者53例纳入观察组,另选同期非PBC失代偿期患者53例纳入对照组。两组均接受腹部螺旋CT增强扫描。比较两组患者肝脏体积及标准化肝体积、肝脏体积增大情况、淋巴结增大分布位置、侧支循环情况。结果观察组患者肝脏体积(1251±200)cm^3、标准化肝体积(694±120)cm^3显著大于对照组(P<0.05)。观察组患者共检出62枚腹部淋巴结,对照组共检出8枚腹部淋巴结。观察组53例患者均出现了侧支循环。结论PBC失代偿期患者肝脏CT影像显示体积增大,以腹膜后淋巴结增大为主,且均有侧支循环发生。

Objective To investigate the changes of liver volume in patients with decompensated primary biliary cirrhosis(PBC)measured by CT.Methods Fifty-three cases of PBC decompensated patients were selected as the observation group,and 53 cases of non PBC decompensated patients in the same period were selected as the control group.Both groups received abdominal spiral CT enhanced scan.The liver volume,standardized liver volume,liver volume enlargement,lymph node enlargement and collateral circulation were compared between the two groups.Results The liver volume(1251±200)cm^3 and standardized liver volume(694±120)cm^3 in the observation group were significantly higher than those in the control group(P<0.05).Sixty-two abdominal lymph nodes were detected in the observation group and 8 in the control group.Fifty-three patients in the observation group had collateral circulation.Conclusion The volume of the retroperitoneal lymph node is increased in all patients.