肝硬化中医证型与多层螺旋CT门静脉成像特点关系的研究.pdfVIP

20 10 28 11 22 Journal of S ichuan of Traditional Ch ineseM edicine Vol28, No11, 2010 CT 王 江 侯 键 谢明国 郑 黎 ( 610072) : 目的: 通过对肝硬化患者 CT 门静脉系血管成像特点的研究, 探讨肝硬化中医证型与 CT 门静脉系血管成 像特点的关系方 : 将 124例肝硬化患者辨证分型后, 进行 CT 门静脉系血管成像检查, 然后观察和测量各证型肝 硬化患者门静脉主干脾静脉径线及走行, 并将观测到各证型的门静脉侧枝循环程度分为四度, 最后将测定结果进行 统计结果: 肝硬化肝气郁结型及湿热内蕴型与其他四型门静脉主干直径及脾静脉直径比较, 均以轻度扩张为主, 具 有显著性差异 (P 005) , 血瘀阻络型脾静脉直径最大, 与其他五型比较具有显著性差异 (P 005), 肝气郁结型 及湿热内蕴型侧枝循环程度主要表现为 0度及 1度, 与其他四型比较均具有显著性差异 (P 005); 肝肾阴虚型 脾肾阳虚型以及血瘀阻络型侧枝循环 3度数量与肝气郁结型及湿热内蕴型比较具有显著性差异 (P 005) 结论: CT 门静脉系成像能在 一定程度上反映肝硬化各证型的特点, 可以作为肝硬化辨证分型的参考依据之一 : 肝硬化 中医证型 CT 门静脉成像 : R 5752 : A : 1000- 3649 ( 20 10) 11- 0022- 03 Correlative Study on TCM Patterns Liver of Cirrhosis w ith Character ofM ulti- Slice Spiral CT Portal V enogra phy /Wang J iang H ou J ian X ie M ingguo Z eng L iT each ing H osp ital of Chengd u Un iversity of TCM ( Chengd u S ichuan 610072 Ch ina ) Abstract: Objectives: To investi ate the correlation of the TCM Patterns w ith character ofM ulti- Slice Spiral CT portal veno raphy of liver cirrhos is. M ethods: 240 cases of cirrhosis patients w ith sixT CM Patterns w ere inspected to portal veno raphy by M ulti- S lice Sp iral CT. Then m easurin portal vein diam eter and sp lenic vein diam eter, and collateral circulation of all six T CM Patterns w ere d ivided into four de rees. Resu lts: The d iameter of sta nation of liver- Q i type and internal accumu lation of Damp- H eat type w ere show ed m ild expansion, were si n ifican tly d ifferent to the rem ainin four TCM Patterns (P 005). The B lood- Stasis type of sp len ic vein diam eter has si nificant d ifference com pared w ith the other five types (P 005) . Col lateral circu lation of