摘要
目的探寻CT与核磁共振检查在诊断脂肪肝方面的准确性,分析CT检查与中医辨证分型的关系。方法选择2016年7月～2017年12月我院收治的脂肪肝患者220例,所有患者经部分肝切除或肝脏穿刺活检确诊,均行CT和核磁共振检查,比较CT检查和MRI检查在诊断脂肪肝方面的准确性,同时分析脂肪肝五种辨证分型与CT检查结果的关系。结果 CT检查结果的准确率为93.18%(205/220),MRI检查结果的准确率为67.73%(149/220)。CT检查结果的准确率明显高于MRI检查结果,差异有统计学意义(P<0.05);肝郁脾虚证的肝/脾CT值比值最高,肝肾不足证最低,各辨证分型间的肝/脾CT值比值比较差异有统计学意义(P<0.05);肝郁脾虚证多为轻度脂肪肝,湿热内蕴证、痰瘀互结证和痰湿内阻证多为中度脂肪肝,肝肾不足证则多为重度脂肪肝,病变程度最重。结论 CT检查在脂肪肝诊断方面准确率好于MRI检查,肝/脾CT值比值与脂肪肝的中医辨证分型相关。
Objective To explore the accuracy of CT and MRI in the diagnosis of fatty liver, and to analyze the relationship between CT examination and TCM syndrome differentiation. Methods A total of 220 patients with fatty liver who were admitted to our hospital from July 2016 to December 2017 were selected. All patients were diagnosed by partial hepatectomy or liver needle biopsy, and all were given CT and MRI. The accuracy of CT and MRI in the diagnosis of fatty liver was compared, and at the same time, the relationship between five types of syndrome differentiation of fatty liver and CT findings was analyzed. Results The accuracy of CT examination was 93.18%(205/220), and the accuracy of MRI was 67.73%(149/220). The accuracy of CT findings was significantly higher than that of MRI, and the difference was statistically significant (P<0.05);the liver/spleen CT ratio of the syndrome of liver depression and spleen deficiency was the highest, the ratio of the syndrome of liver and kidney deficiency was the lowest, and the differences of liver/spleen CT ratio between different types of syndrome differentiation were statistically significant(P<0.05);most of the liver depression and spleen deficiency syndrome was mild fatty liver. The dampness and heat internal syndrome, the phlegm and blood stasis syndrome and the phlegm-dampness internal resistance syndrome were mostly moderate fatty liver. The liver and kidney deficiency syndrome was mostly severe fatty liver, as the severity of the lesion was the severest. Conclusion The accuracy of CT examination in the diagnosis of fatty liver is better than that of MRI. The ratio of liver/spleen CT ratio is related to the TCM syndrome differentiation of fatty liver.
作者
胡海华
赵红星
张莎莎
HU Haihua;ZHAO Hongxing;ZHANG Shasha(Department of Radiology, the First People's Hospital of Huzhou City in Zhejiang Province, Huzhou 313000, China;Department of TCM, the First People's Hospital of Huzhou City in Zhejiang Province, Huzhou 313000, China)
出处
《中国现代医生》
2019年第3期106-108,共3页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2018KY774)
浙江省湖州市科技计划项目(2016GYB04)
关键词
脂肪肝
计算机断层成像
核磁共振
辨证分型
诊断
Fatty liver
Computerized tomography (CT)
MRI
Syndrome differentiation
Diagnosis
