摘要
目的探讨原发性胆汁性肝硬化(PBC)失代偿期的多层螺旋CT(MSCT)影像表现。方法回顾性分析2008年2月～2010年1月临床确诊的24例原发性胆汁性肝硬化失代偿期患者MSCT影像资料,同时选取30例乙肝肝硬化失代偿期患者作为对照组。对2组患者分别进行肝脏体积测量、腹腔淋巴结、侧支循环和胆囊病变的分析。结果 PBC组出现腹腔淋巴结增大为25.0%,对照组16.7%,PBC组高于对照组,有统计学意义(x2=18.555,P<0.01)。PBC组胆囊炎为70.8%,对照组20.0%,PBC组高于对照组,有统计学意义(x2=14.091,P<0.01)。肝脏体积改变及侧支循环与对照组的差异无统计学意义。结论相对于乙肝肝硬化失代偿期,MSCT显示PBC的腹腔淋巴结增大和胆囊炎更为常见。
Objective To retrospectively analyse the multi-slice CT （MSCT） images obtained in patients with primary biliary cirrhosis （PBC）. Methods Between February 2008 and January 2010, 24 patients with PBC and 30 subjects with hepatitis B-induced cirrhosis （control group） were performed routine abdominal MSCT. Liver volume measuring, abdomi- nal lymph notes, collateral circulation and gallbladder disease were analyzed in that two group＇s patients. Results In our study, CT evidence of lymphodenopathy was found in 75.0% and 16.7% of patients in PBC and in hepatitis B-induced cir- rhosis, respectively. Cholecystitis was seen in 70.8% and 20.0% of patients in PBC and in control group, respectively. The lymphodenopathy and cholecystitis were more common in PBC than in control group and there were significant differ- ence between the two groups （X2 = 18. 555, P d0.01 and X2 = 14. 091, P d0.01）. The liver volume change and collateral circulation in two groups were not statistically significant （ P 〉0.05）. Conclusion The lymphodenopathy and cholecysti- tis are more frequent MSCT findings in primary biliary cirrhosis than that in hepatitis B-induced cirrhosis. The liver vol- ume change and collateral circulation in PBC are similar to that in the control group.
出处
《医学影像学杂志》
2013年第2期237-240,共4页
Journal of Medical Imaging
作者简介
张瑞池（1975-），男，北京市人，本科学历，主治医师，主要从事腹部影像诊断及研究工作
通讯作者：赵大伟主任医师E-mail：zdw2345@yahoo．com．
