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由于慢性肝病中肝炎、脂肪肝和肝硬化经常共存,不少病例都需作活检,以估价这些共存病变的相对严重程度和制定恰当的治疗计划。作者结合一例曾用CT和该磁共振(NMR)检查并经手术活检证实的病例,讨论NMR在慢性肝病中的诊断作用。患者在手术活检时发现左、右叶均有硬化,而脂肪浸润和肝炎则仅分别见于右叶和左叶;湿肝组织甘油三酯含量分别为5和30mg/g(正常为5～10mg/g);肝外门静脉无阻塞,门静脉直接测压为23mmHg(正常为5～10mmHg)。所
Due to the frequent coexistence of hepatitis, fatty liver and cirrhosis in chronic liver disease, biopsy is required in many cases to assess the relative severity of these coexisting lesions and to devise an appropriate treatment plan. The authors discuss the diagnostic role of NMR in chronic liver disease by combining a case of CT and magnetic resonance (NMR) confirmed by biopsy. Patients underwent surgical biopsy found that the left and right lobes were sclerosis, while fatty infiltration and hepatitis were only found in the right and left lobes; wet liver tissue triglyceride content were 5 and 30mg / g (normal 5 ~ 10mg / g); extrahepatic portal vein without obstruction, direct portal pressure measurement 23mmHg (normal 5 ~ 10mmHg). The