孙永胜

【摘要】 目的 分析并探讨CT增强扫描在脂肪肝合并肝脏结节性疾病诊断中的价值。方法 100例脂肪肝合并肝脏结节性疾病患者， 随机分为观察组与对照组， 各50例。对照组实施超声诊断， 观察组实施CT增强扫描， 且观察组患者依照结节大小分为小结节组、大结节组。对比各组患者的诊断效果。

结果 观察组患者诊断准确度、特异度、灵敏度分别为92.0%、90.0%、93.3%， 均显著优于对照组的62.0%、55.6%、65.6%（P<0.05）。观察组中， 小结节组23例患者扫描准确度（95.7%）、特异度（87.5%）、灵敏度（100.0%）均比大结节组 27例患者（88.9%、85.7%、91.7%）高， 但差异无统计学意义（P>0.05）。结论 临床诊断脂肪肝合并肝脏结节性疾病选择CT增强扫描诊断准确度较高， 有助于对患者生命健康进行有效保护， 且具有较高安全性与易于操作的特点， 值得在临床中应用。

【关键词】 脂肪肝；肝脏结节性疾病；CT增强扫描；诊断价值

DOI：10.14163/j.cnki.11-5547/r.2016.18.010

【Abstract】 Objective To analyze and investigate value of CT enhanced scan in diagnosis of fatty liver complicated with hepatic nodular disease. Methods A total of 100 patients of fatty liver complicated with hepatic nodular disease were randomly divided into observation group and control group， with 50 cases in each group. The control group received ultrasonic diagnosis， and the observation group received CT enhanced scan. The observation group was further divided into small nodule group and large nodule group. Diagnostic outcomes of all the groups were compared. Results The observation group had accuracy， specificity and sensitivity respectively as 92.0%， 90.0% and 93.3%， which were obviously better than 62.0%， 55.6% and 65.6% of the control group （P<0.05）. The small nodule group with 23 cases in observation group had higher scanning accuracy （95.7%）， specificity （87.5%） and sensitivity （100.0%） than the large nodule group with 27 cases （88.9%， 85.7%， 91.7%）， while their difference had no statistical significance （P>0.05）. Conclusion Implement of CT enhanced scan in clinical diagnosis of fatty liver complicated with hepatic nodular disease contains high diagnosis accuracy. This method is helpful for protect patients health， along with high safety and easy operation， and it is worth clinical application.

【Key words】 Fatty liver； Hepatic nodular disease； CT enhanced scan； Diagnostic value

脂肪肝合并肝脏结节性疾病在临床中较为多见， 且很多病灶均属于良性， 多数病灶位置均位于健康肝脏包膜内部， 一般为孤立结节， 而且有着清晰可见的边界、不规则的形状， 且大小不等[1， 2]。临床通常选择超声增强扫描的方式对脂肪肝合并肝脏结节性疾病进行诊断， 但该诊断方法准确性比较低， 而且无法及时反映患者病灶， 诊断价值比较低[3]。本研究旨在分析与探讨脂肪肝合并肝脏结节性疾病中应用CT增强扫描的实际价值， 现报告如下。

1 资料与方法

1. 1 一般资料 选取2014年8月～2016年1月在本院接受治疗的100例脂肪肝合并肝脏结节性疾病患者， 随机分为观察组与对照组， 各50例。……