多层螺旋CT在肝硬化患者肝静脉造影的临床应用_临床医学论文.docVIP

多层螺旋CT在肝硬化患者肝静脉造影的临床应用_临床医学论文 多层螺旋CT在肝硬化患者肝静脉造影的临床应用_临床医学论文 作者：李显忠 庞崃林 杨华 孙清荣 【摘要】 目的 探讨肝硬化患者多层螺旋CT肝静脉造影的合适条件。 方法 60例临床确诊肝硬化患者随机分为三组：N1、N2和N3，每组20例，20例年龄相匹配的非肝硬化患者作为对照，N1及对照组造影剂剂量1.5mL/kg，N2及N3剂量为2.5mL/kg，注射速度均为3.5ml/s，N1、N2及对照组肝静脉期扫描时间为70s，N3肝静脉期扫描时间为80s。结果 N1组肝静脉CT值、肝实质CT值及两者差值分别为(121.09±16.78)Hu、(95.91±14.16)Hu和(25.18±11.60)Hu，对照组分别为:(160.55±14.27)Hu、(109.20±5.79)Hu和(51.35±12.25)Hu，肝硬化组均明显低于对照组(0.05)。N2组分别为：(130.54±15.31)Hu、(98.55±14.86)Hu和(31.36±12.62)Hu、相对于N1组肝静脉和肝实质的CT值均有一定程度上升，但差别没有显著性(Pgt;0.05);N3组分别为：(136.92±17.53)Hu、(89.43±15.48)Hu和(43.42±10.71)Hu，相对于N1组肝静脉CT值显著增加，同时肝实质密度轻度降低，两者差值明显提高(0.05) 结论 联合大剂量持续注射和延迟扫描技术，多层螺旋CT能对肝硬化患者肝静脉作出满意的评价。 【关键词】 体层摄影术;X线计算　机;肝静脉;肝硬化;　血管造影术 [Abstract] Objective To explore the optimal situation of hapetic vein using multi-slice CT in cirrhosis. Methods 60 patients with liver cirrhosis patients were randomly divided into three groups: N1,N2and N3,each one was 20 cases. 20 cases of age-matched patients without liver cirrhosis served as control group. Iodine contrast agents were used with injection rate of 3.5ml/s, The doses of contrast agent were 1.5 mL/kg in group N1 and control, were 2.5 mL/kg in group N2and N3. The scanning delay time in group N3 was 80s, and 70s in rest. Results The CT values of hapetic vein ,liver parenchyma and the difference-value between the two were, respectively, (121.09±16.78)Hu,(95.91±14.16)Hu,and (25.18±11.60)Hu in group N1, and (160.55±14.27)Hu, (109.20±5.79)Hu,(51.35±12.25)Hu in control group, (130.54±15.31)Hu,(98.55±14.86)Hu, (31.36±12.62) Hu in N2, (136.92±17.53)Hu, (89.43±15.48)Hu,(43.42±10.71)Hu in N3.Group N1 was significantly lower than control group(P lt; 0. 05).Compared to group N1, the CT values in group N2 increased to a certain extent, but there was no significant difference(P gt; 0. 05). In group N3, the CT values of hepatic vein and the difference-value were significantly higher than that in group N1(P lt; 0. 05). Conclusion Combined with high-dose injection and delay scaning, multi-sli