肝硬化：尾状叶与右叶比值在超声诊断中的价值。

Cirrhosis: value of caudate to right lobe ratio in diagnosis with US.

作者信息

Giorgio A, Amoroso P, Lettieri G, Fico P, de Stefano G, Finelli L, Scala V, Tarantino L, Pierri P, Pesce G

出版信息

Radiology. 1986 Nov;161(2):443-5. doi: 10.1148/radiology.161.2.3532188.

DOI:10.1148/radiology.161.2.3532188

Abstract

To verify the value of ultrasound (US) in the diagnosis of cirrhosis, the ratio of transverse caudate lobe width to right lobe width (C/RL) was determined with US in 25 healthy subjects and 156 consecutive patients with either histologically proved acute viral, chronic persistent, or chronic active hepatitis or cirrhosis. The C/RL ratio had a sensitivity of 43%, a specificity of 100%, and an accuracy of 79% in cirrhosis. The sensitivity was very low in alcoholic cirrhosis, low in cryptogenic cirrhosis, and high in hepatitis B virus related cirrhosis. In spite of its fairly low overall sensitivity, the C/RL ratio is a useful measurement in assessing chronic liver disease because of its high specificity in cirrhosis.

摘要

为验证超声（US）在肝硬化诊断中的价值，对25名健康受试者以及156例经组织学证实患有急性病毒性肝炎、慢性持续性肝炎、慢性活动性肝炎或肝硬化的连续患者进行了超声检查，测定了尾状叶横径与右叶横径之比（C/RL）。C/RL比值对肝硬化的敏感性为43%，特异性为100%，准确性为79%。该比值在酒精性肝硬化中的敏感性非常低，在隐源性肝硬化中较低，而在乙型肝炎病毒相关性肝硬化中较高。尽管总体敏感性相当低，但由于C/RL比值在肝硬化中具有高特异性，所以它是评估慢性肝病的一项有用指标。