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目的 评价肝纤维化患者肝脏形态学改变CT、MR表现。方法 对 16 8例经肝穿刺活检病理证实的肝纤维化患者行CT和 /或MR检查 ,根据肝纤维化炎症活动度分级和纤维化程度分期进行肝脏形态学改变和相关指标的统计分析。结果 肝左叶体积、肝表面形态和肝裂增宽等肝脏形态学改变随着肝纤维化严重程度的加重而有统计学差异。结论 无创伤性的CT、MR检查是临床评价肝脏形态学改变和动态观察肝纤维化病程演进的有效手段。
Objective To evaluate the changes of liver morphology in patients with liver fibrosis. Methods CT and / or MR examination was performed on 168 liver fibrosis patients confirmed by liver biopsy and histopathological changes and related indicators were analyzed according to the grades of hepatic fibrosis and the degree of fibrosis. Results The morphological changes of the liver, such as left lobe volume, liver surface morphology and hepatic enlargement, were statistically different with the severity of liver fibrosis. Conclusion Noninvasive CT and MR examinations are effective methods to evaluate the morphological changes of liver and dynamically observe the course of liver fibrosis.