Quantitative assessment of portal hypertension and its effect on the peripheral organs by CT plain scanning
10.3969/j.issn.1009-0754.2017.04.018
- VernacularTitle:CT平扫定量评定门脉高压及其对周围器官的影响
- Author:
Xu ZENG
1
;
Biao JIN
;
Changlin LIU
;
Ming ZOU
;
Yongjie WANG
;
Fanyong ZENG
;
Jun LI
Author Information
1. 上海交通大学附属新华医院崇明分院
- Keywords:
Computer tomography;
Portal hypertension;
Organ
- From:
Journal of Navy Medicine
2017;38(4):340-342,357
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of CT plain scanning in the quantitative assessment of portal hypertension and its effect on the peripheral organs.Methods A respective analysis was made on the CT scan data of 86 people,of whom 45 were patients with portal hypertension (the portal hypertension group) and 41 were normal adults (the control group).Close observation was made on the CT values of the portal right and left branch junction,the abdominal aorta in the same scanning layer,the pancreas,the double kidneys and the spleen of the 2 groups.The patients in the portal hypertension group were classified in accordance with liver function,then,measurements and statistical analyses were made in the CT values of the above corresponding parts.Results The CT values of the portal right and left branch junction,the abdominal aorta in the same scanning layer,the pancreas,the double kidneys and the spleen were respectively (36.97 ± 5.81),(41.06 ± 7.22),(42.64 ± 6.07),(33.18 ± 4.20) and (45.29 ± 4.60) HU,while those of the control group were respectively (43.92 ± 5.71),(47.19 ± 5.80),(50.06 ± 7.80),(36.12 ± 4.50) and (52.38 ± 4.95) HU.The CT value of the above corresponding parts regarding liver function classification (A,B and C) were respectively (39.57 ±(38.67 ±7.35),(37.33 ±4.09),(33.46 ±3.97),(28.23 ±4.13),(48.66 ±4.38),(45.03 ±4.43) and(40.12 ±5.32) HU.Variance analysis showed that there were statistical differences in the CT values of the portal vein,abdominal aorta,pancreas,double kidneys antd spleen between the portal hypertension group and the normal group (P ＜ 0.05).There was also statistical significance in the above corresponding parts regarding liver function classification (A,B and C).Conclusion In case of portal hypertension,the CT valtues of the portal vein,the abdominal aorta,the pancreas,the double kidneys and the spleen would decrease,andt the bigher the liver function classification,the lower the CT values,irndlicating that portal hypertension had certain effects on the tuction of peripheral organs and hemodynamics of aorta.
