Journal of Hebei Medical University

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Clinical value of liver volume measurement by CT combined CTP grading in evaluating the liver reserve function in patients with primary hepatic carcinoma combined liver fibrosis#br#

  

  1. 1.Department of Ultrasound and Electrophysiology, the Fourth People′s Hospital of Qinghai Province,
    Xining 810000, China; 2.The Second Department of General Surgery, the First People′s
    Hospital of Huangzhong, Qinghai Province, Huangzhong 811600, China
  • Online:2018-10-25 Published:2018-09-27

Abstract: [Abstract] Objective〖HTSS〗〓To investigate the clinical value of liver volume measurement by CT combined CTP grading in evaluating the liver reserve function in patients with primary hepatic carcinoma combined liver fibrosis.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Thirtyeight cases of hepatic carcinoma with hepatic fibrosis in our hospital were selected as experimental group, 38 healthy volunteers with normal abdominal CT findings in the same period were selected as control group. In the experimental group, the CTP grading was used and CT liver volume measurement was conducted in the two groups. Liver volume changes between two groups of patients and experimental group was compared, and the correlation between the measured liver volume and CTP grading was analyzed.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Compared with the control group, the volume of right lobe and caudate lobe were decreased(P<005), the volume of quadrate lobe and the total liver volume were decreased(P<005). The volume of right lobe and the total liver volume in patients with primary liver cancer were decreased(P<005). The CTP grading was negatively correlated with the volume of right lobe and liver volume(P<005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The CT liver volume measurement combined with the CTP grading can accurately evaluate the liver lobe size, effectively assess the patient′s liver reserve function, and has guiding significance for the development of treatment scheme for patients with primary liver cancer and  hepatic fibrosis, which is worthy of popularizing.

Key words: liver neoplasms, liver cirrhosis, liver volume measurement, ChildTurcottePugh grading