肝硬化患者肾脏损害的CT表现的临床研究.docVIP

肝硬化患者肾脏损害的CT表现的临床研究 　　[摘要] 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（P0.05），而髓质增强程度显著高于对照组（P0.05）；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（P0.05），而髓质增强程度显著高于分类级别低的亚组（P0.05）。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。 　　[关键词] CT表现；肝硬化；肾脏损害；临床研究 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）08（b）-0177-02 　　[Abstract] 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 observation 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 substance， 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 observation group， the degree of enhancement of C/P in cortex was significantly lower than the control group （P0.05）， but the degree of enhancement of medulla was significantly higher than the control group （P0.05），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 （P0.05）， which was significantly higher than that