CAJ | 학술논문

目的：研究分析肝硬化患者肾脏损害的CT表现及临床影响因素。方法整群选取2013年5月—2015年2月该院收治的肝硬化确诊患者137例,分为观察组,同时选取无肝硬化及肾病等相关病症人群100例,分为对照组。通过增强螺旋CT扫描测量两组患者双肾皮质厚度和实质厚度,比较两组患者皮质厚度与实质厚度比(C/P)、动脉期皮质增强及髓质增强程度；分别以肝功能等级,腹水量,肝硬化类型、侧枝循环开放情况、脾静脉与右肾静脉交通情况为分组依据,将观察组分为相对应的亚组,比较各亚组间C/P、皮质增强及髓质增强。结果观察组患者C/P、皮质增强程度显著低于对照组(P<0.05),而髓质增强程度显著高于对照组(P<0.05)；肝功能等级、脾静脉与右肾静脉交通高的亚组,C/P、皮质增强程度显著低于分类级别低的亚组(P<0.05),而髓质增强程度显著高于分类级别低的亚组(P<0.05)。结论肝功能等级、侧枝循环开放程度以及脾静脉与右肾静脉交通与否是影响肾脏损害CT表现的主要因素。
목적：연구분석간경화환자신장손해적CT표현급림상영향인소。방법정군선취2013년5월—2015년2월해원수치적간경화학진환자137례,분위관찰조,동시선취무간경화급신병등상관병증인군100례,분위대조조。통과증강라선CT소묘측량량조환자쌍신피질후도화실질후도,비교량조환자피질후도여실질후도비(C/P)、동맥기피질증강급수질증강정도；분별이간공능등급,복수량,간경화류형、측지순배개방정황、비정맥여우신정맥교통정황위분조의거,장관찰조분위상대응적아조,비교각아조간C/P、피질증강급수질증강。결과관찰조환자C/P、피질증강정도현저저우대조조(P<0.05),이수질증강정도현저고우대조조(P<0.05)；간공능등급、비정맥여우신정맥교통고적아조,C/P、피질증강정도현저저우분류급별저적아조(P<0.05),이수질증강정도현저고우분류급별저적아조(P<0.05)。결론간공능등급、측지순배개방정도이급비정맥여우신정맥교통여부시영향신장손해CT표현적주요인소。
Objective To study the clinical effect of CT and performance analysis of the factors of renal damage in patients with liver cirrhosis,137 liver cirrhosis patients. Methods From May 2013 to February 2015 in our hospital were divided into the obser-vation group, at the same time,select no cirrhosis of the liver and kidney and other diseases in 100 cases,divided into control group. Through enhanced spiral CT scanning of two groups of patients with renal cortical thickness and the thickness of the sub-stance, compared two groups of patients with cortical thickness and material thickness ratio (C/P), cortex and medulla arterial phase enhanced the degree of enhancement, with hepatic function grade, ascites, liver cirrhosis, the type of collateral circulation, splenic vein and right renal vein traffic for the group, the observation group was divided into the corresponding subgroups, each subgroup were compared between the cortex and medulla of C/P, enhance the enhancement. Results The patients in the observa-tion group, the degree of enhancement of C/P in cortex was significantly lower than the control group (P<0.05), but the degree of en-hancement of medulla was significantly higher than the control group (P<0.05),liver function grade, splenic vein and right renal vein traffic high subgroups, C/P, cortical enhancement was significantly lower than that in low taxonomic levels (P<0.05), which was significantly higher than that of the medulla enhanced classification level low group (P<0.05). Conclusion Liver function grade, collateral circulation openness and splenic vein and right renal vein traffic or not is a major factor kidney damage CT performance impact.