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目的探讨出不同等级肝硬化时各肝叶的体积变化规律为肝硬化患者临床评估、预后及肝胆外科治疗方案的进一步完善提供更具价值的资料。方法选择50例正常成人(正常组)及40例肝硬化患者(研究组)肝脏进行MSCT扫描,分别测量肝脏各个部位的体积,如左外叶、左内叶、尾状叶、右前叶、右后叶,计算整个肝脏的体积。结果正常组50例正常肝脏体积测量:肝脏总体积为(1275.70±329.58)cm3,左外叶为(229.18±73.39)cm3,左内叶为(224.89±54.78)cm3,尾状叶为(37.85±3.19)cm3,右前叶为(507.06±121.39)cm3,右后叶为(276.72±76.83)cm3。研究组40例肝硬化患者肝脏体积测量:肝脏总体积为(867.29±233.64)cm3,左外叶为(206.53±90.36)cm3,左内叶为(134.89±90.78)cm3,尾状叶为(34.45±8.99)cm3,右前叶为(395.06±135.44)cm3,右后叶为(152.16±55.83)cm3。结论随着病情严重程度的增加,Child-Pugh A、B、C级肝硬化各肝叶大小的变化表现为右叶和左内叶明显缩小,左外叶略有缩小,而尾叶变化不大,全肝体积缩小。
Objective To investigate the changes of the volume of liver lobes in different grades of cirrhosis and provide more valuable information for clinical evaluation, prognosis and further improvement of hepatobiliary surgery in patients with liver cirrhosis. Methods The liver of 50 normal adults (normal group) and 40 cirrhosis patients (study group) were scanned by MSCT to measure the volume of each part of the liver, such as left outer lobe, left lobe, caudate lobe, right anterior lobe, After the leaves, calculate the volume of the entire liver. Results The normal liver volume of 50 normal subjects was (1275.70 ± 329.58) cm3, the left outer lobe was (229.18 ± 73.39) cm3, the left lobe was (224.89 ± 54.78) cm3 and the caudate lobe was (37.85 ± 3.19 cm 3, the right anterior leaf was 507.06 ± 121.39 cm 3, and the right posterior leaf was 276.72 ± 76.83 cm 3. The liver volume of 40 patients with cirrhosis was (867.29 ± 233.64) cm3 in the study group, 206.53 ± 90.36 cm3 in the left outer lobe, 134.89 ± 90.78 cm3 in the left lobe, 34.45 in the caudate lobe, ± 8.99 cm 3, right anterior leaf was 395.06 ± 135.44 cm 3, and right posterior leaf was 152.16 ± 55.83 cm 3. Conclusions With the increase of the severity of the disease, the changes of the liver lobe size of Child-Pugh A, B, C cirrhosis showed that the right lobe and the left inner lobe were significantly reduced, the left outer lobe slightly reduced and the caudate lobe changed little , The whole liver shrinks.