CAJ | 학술논문

目的：探讨肝硬化患者的多层螺旋C T灌注成像特点及诊断价值。方法50例肝硬化患者和50例同期健康体检者纳入研究，对比两组的多层螺旋CT 灌注成像参数差异。结果研究组BF ，BV ，PVP ，THBF均显著低于对照组，而MTT ，HAP ，HPI显著高于对照组 P ＜0．05。不同程度肝硬化之间的 HAP ，PVP ，THBF ，HPI均有显著差异，P＜0．05。CT分级与Child‐Pugh分级正相关，相关系数0．927，P ＜0．05。结论多层螺旋CT灌注成像可为早期肝纤维化、肝硬化的诊断、评估及判断预后提供影像学基础，具有较高的临床价值。
목적：탐토간경화환자적다층라선C T관주성상특점급진단개치。방법50례간경화환자화50례동기건강체검자납입연구，대비량조적다층라선CT 관주성상삼수차이。결과연구조BF ，BV ，PVP ，THBF균현저저우대조조，이MTT ，HAP ，HPI현저고우대조조 P ＜0．05。불동정도간경화지간적 HAP ，PVP ，THBF ，HPI균유현저차이，P＜0．05。CT분급여Child‐Pugh분급정상관，상관계수0．927，P ＜0．05。결론다층라선CT관주성상가위조기간섬유화、간경화적진단、평고급판단예후제공영상학기출，구유교고적림상개치。
Objective To investigate the diagnostic value of spiral CT perfusion imaging in hapetic cirrhosis .Methods 50 cases of liver cirrhosis and 50 healthy subjects in the same period were included in the study .Spiral CT perfusion ima‐ging indexes were compared between the two groups .Results BF ,BV ,PVP ,THBF in study group were significantly lower than that in the control group ,while MTT ,HAP ,HPI were significantly higher ( P<0 .05) .There were signifi‐cant differences in different degrees of hapetic cirrhosis ,in PVP ,T HBF and HPI ( P<0 .05) .CT grading positively cor‐related with Child‐Pugh classification ,r=0 .927 ,P<0 .05 .Conclusion Spiral CT perfusion imaging may provide a basis for cirrhosis in early diagnosis ,assessment and prognosis with a high clinical value .