实用肝脏病杂志 ›› 2010, Vol. 13 ›› Issue (2): 107-108.doi: 10.3969/j.issn.1672-5069.2010.02.009

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肝炎肝硬化患者肝脏MRI分数评定及其临床意义

李振芝, 王晓华, 王黎明, 刘芹, 乔秀丽   

  1. 264200 山东省威海市立医院影像科(李振芝,王晓华,王黎明); 消化内科(刘芹,乔秀丽)
  • 收稿日期:2009-11-05 出版日期:2010-04-10 发布日期:2016-04-18
  • 作者简介:李振芝 男,40岁,医学硕士,副主任医师。主要从事磁共振诊断工作。E-mail:lzziizz@sina.com

Analysis on the correlation between liver MRI scores and clinical severity in viral hepatitis-induced cirrhosis

LI Zhenzhi, WANG Xiaohua, WANG Liming, et al.   

  1. Department of Radiology,Municipal Hospital,Weihai 264200,China
  • Received:2009-11-05 Online:2010-04-10 Published:2016-04-18

摘要: 目的 探讨肝炎肝硬化患者肝脏MRI分数与Child-Pugh分级之间的关系。方法 48例肝炎肝硬化病人均进行肝脏MRI平扫检查,观察测量肝脏长径、腹水厚度、侧枝循环数目等参数,并与Child-Pugh分级进行相关性分析。结果 Child-Pugh分级与侧枝循环数目、腹水厚度呈显著正相关(P<0.01),与肝脏长径呈显著负相关(P<0.05)。肝脏MRI分数与Child-Pugh分级呈显著正相关(r=0.935,P<0.01);运用肝脏MRI评分系统区分Child-Pugh A级与其他级别的肝硬化,其准确度、敏感性、特异性分别为93.8%、95.2%及92.6%。结论 基于侧枝循环数目、腹水厚度及肝脏长径三项指标的肝脏MRI评分系统,可良好地运用于评估肝硬化的临床严重程度。

关键词: 肝炎肝硬化, 磁共振成像, 肝功能评价

Abstract: Objective To analyze the relationship between liver MRI scores and Child-Pugh grades. Methods Liver MRI plain scans were performed in 48 patients with rival hepatitis-induced cirrhosis. Parameters of the length of liver,the thickness of ascites and the presence of collaterals were measured. The correlation were assessed between these parameters and Child-Pugh grades. Results The thickness of ascites and the number of collaterals were significantly and positively correlated with Child-Pugh grades(P<0.01). The length of liver was significantly and negatively correlated with Child-Pugh grades(P<0.05);Significant and positive correlation was found between liver MRI scores and Child-Pugh grades(r=0.935,P<0.01);The accuracy of MRI scoring system in distinguishing between Child-Pugh grade A and grades B/C was 93.8%,with the sensitivity 95.2%,and the specificity 92.6%. Conclusion The clinical severity of liver cirrhosis can be well evaluated by using a liver MRI scoring system based on the presence of collaterals,the thickness of ascites and the liver length.

Key words: Liver cirrhosis, Magnetic resonance imaging, Liver function evaluation