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目的:探讨肝硬化多层螺旋CT形态学改变,及其与肝硬化患者中医证型规律分布的关系,为肝硬化中医证型分类量化标准提供客观依据。方法:采用多层螺旋CT检查,对126例6种不同中医证型肝硬化患者的肝脏CT形态学变化进行分析。结果:126例不同证型肝硬化患者肝脏CT分为3个类型:节段型(72例,占57.1%)、均匀型(39例,占31.0%)和结节型(15例,占11.9%);湿热蕴结证与肝脏CT均匀型、肝气郁结加湿热蕴结证与肝脏CT节段型具有密切相关性。结论:肝硬化多层螺旋CT形态学改变能够反映肝硬化大体病理学特征,为中医辨证提供一定的客观依据。
Objective: To investigate the morphological changes of liver cirrhosis with multi-slice spiral CT and their relationship with the regular distribution of TCM syndromes in patients with cirrhosis and provide an objective basis for the classification and quantification of TCM syndrome types of cirrhosis. Methods: Multi-slice spiral CT examination of 126 cases of six different types of TCM cirrhosis in patients with liver CT morphological changes were analyzed. Results: There were three types of hepatic CT in 126 patients with different types of cirrhosis: segmental type (72 cases, 57.1%), homogeneous type (39 cases, 31.0%) and nodular type %); Accumulation of damp heat accumulation and liver CT homogeneous type, liver qi stagnation and heat Accumulation syndrome and hepatic CT segmental type is closely related. Conclusion: The morphological changes of cirrhotic MSCT can reflect the general pathological features of cirrhosis and provide some objective evidences for TCM syndrome differentiation.