计算机断层扫描、超声检查和闪烁扫描术在酒精性肝病诊断中的比较

A comparison of computed tomography, ultrasound and scintigraphy in the diagnosis of alcoholic liver disease.

作者信息

Meek D R, Mills P R, Gray H W, Duncan J G, Russell R I, McKillop J H

出版信息

Br J Radiol. 1984 Jan;57(673):23-7. doi: 10.1259/0007-1285-57-673-23.

Abstract

In 35 alcoholics with histologically proven liver disease, computed tomography (CT), grey scale ultrasonography and liver scintigraphy were evaluated for their abilities to detect an abnormal liver and to identify the patients with cirrhosis. Abnormal studies were present on CT in 83% of patients, in 64% on ultrasound and in 94% on scintigraphy. In 10 control patients specificity was 90% by CT, 100% by ultrasound and 70% by scintigraphy. CT and ultrasound were poor in identifying the alcoholics with cirrhosis. Scintigraphy suggested cirrhosis in all but one of the patients with this diagnosis. Similar images were obtained in half of the patients with fatty change without cirrhosis but, with the exception of one patient, this appeared to be due to co-existent hepatitis. The results suggest that scintigraphy is the best of the imaging tests for screening alcoholics for cirrhosis.

摘要

在35例经组织学证实患有肝脏疾病的酗酒者中，对计算机断层扫描（CT）、灰阶超声检查和肝脏闪烁扫描检测肝脏异常及识别肝硬化患者的能力进行了评估。CT检查发现83%的患者存在异常，超声检查为64%，闪烁扫描为94%。在10例对照患者中，CT的特异性为90%，超声为100%，闪烁扫描为70%。CT和超声在识别患有肝硬化的酗酒者方面表现不佳。闪烁扫描提示除1例患者外，所有诊断为肝硬化的患者均患有肝硬化。在一半无肝硬化的脂肪变性患者中获得了相似的图像，但除1例患者外，这似乎是由于并存肝炎所致。结果表明，闪烁扫描是筛查酗酒者肝硬化的最佳影像学检查方法。