【摘要】 目的 :探讨肝硬化CT分级的可行性及其在肝硬化诊断中的价值。方法 :搜集行CT扫描的肝硬化患者 5 0例 ,由三个观察者双盲法研究肝硬化CT分级的方法 ,并与患者的Child Pugh分级、疗效与预后进行对比研究。结果 :三个观察者双盲两两之间的相关系数r值分别为 0 .89、0 .93和 0 .96(均P <0 .0 0 0 1) ,5 0例肝硬化CT分级与Child Pugh分级等级相关系数RS=0 .8(P <0 .0 0 0 1) ;与患者预后明显相关 (双侧概率 ,P <0 .0 0 0 1) ;随肝硬化CT分级数的提高 ,门脉高压征的程度及征象种数有递增规律。结论 :肝硬化CT分级对肝硬化严重程度及预后的估计有重要价值更多还原

【Abstract】 Objective:To investigate the feasibility of CT grading of liver cirrhosis and to assess its diagnostic value.Methods:50 hospitalized patients with liver cirrhosis undergoing plain CT and/or enhanced CT scans were collected.CT grading of liver cirrhosis was studied by double blind method and compared to the Child Pugh grade,curative effect and prognosis.Results:The correlation coefficient of the double blind results was 0.89、0.93 and 0.96,respectively ( P < 0.0001 ).The correlation coefficient of CT grade and Child Pugh grade was 0.8 ( P <0.0001),and CT grading was significantly related with prognosis(two sides, P <0.0001).With the increase of CT grade from 1 to 4,the severity of portal hypertension and CT findings secondary to portal hypertension increased.Conclusion:CT grading of liver cirrhosis plays an important role in the assessment of the severity and prognosis of liver cirrhosis.更多还原