QCT诊断围绝经期妇女脂肪肝的效果分析

Effect Analysis of QCT in the Diagnosis of Fatty Liver in Perimenopausal Women

摘要: 目的：采用临床实验的方法，探讨QCT诊断围绝经期妇女脂肪肝与肝脾CT比值诊断脂肪肝的相关性。方法：选取2023年1月至2023年8月我院住院患者，通过回顾性筛查做过胸部或腹部CT及定量CT的女性患者101例，按照肝脾CT比值分为脂肪肝组和非脂肪肝组及轻中重度脂肪肝组分别与QCT测得肝脏脂肪含量进行相关性分析。结果：女性101例，无脂肪肝：35例，轻度：44例，中度：19例，重度：3例。通过Pearson相关分析，肝脏脂肪含量与肝脾CT比值高度相关(r = −0.980, P < 0.001)；肝脏CT值与肝脾CT比值高度相关(r = 0.998, P < 0.001)。不同程度脂肪肝肝脏脂肪含量不同，通过Spearman相关分析肝脏脂肪含量与脂肪肝严重程度呈正相关(r = 0.931, P < 0.001)。结论：QCT测得的围绝经期妇女肝脏脂肪含量与肝脾CT比值具有明显负相关性，随着肝脏脂肪含量的增加，肝脾CT比值越减小，脂肪肝程度越严重。QCT测得的围绝经期妇女肝脏脂肪含量与脂肪肝严重程度具有明显正相关性，随着肝脏脂肪含量的增加，脂肪肝越发严重。经QCT得出肝脏脂肪含量在定量诊断脂肪肝及脂肪肝严重程度中具有较高的价值。

Abstract: Objective: The correlation between QCT in the diagnosis of fatty liver in perimenopausal women and the ratio of liver and spleen CT in the diagnosis of fatty liver was studied by clinical experiment. Methods: A total of 101 female patients hospitalized in our hospital from January 2023 to August 2023 who had undergone chest or abdominal CT and quantitative CT were retrospectively screened and divided into fatty liver group, non-fatty liver group and mild, moderate and severe fatty liver group according to the ratio of liver and spleen CT to conduct correlation analysis with the liver fat content measured by QCT. Results: There were 101 female cases, no fatty liver: 35 cases, mild: 44 cases, moderate: 19 cases, severe: 3 cases. According to Pearson correlation analysis, liver fat con-tent was highly correlated with liver and spleen CT ratio (r = −0.980, P < 0.001). CT value of liver was highly correlated with CT ratio of liver and spleen (r = 0.998, P < 0.001). Liver fat content was different in different degrees of fatty liver, and liver fat content was positively correlated with the severity of fatty liver by Spearman correlation analysis (r = 0.931, P < 0.001). Conclusion: The liver fat content measured by QCT has a significant negative correlation with the liver-spleen CT ratio in perimenopausal women. With the increase of liver fat content, the liver-spleen CT ratio decreases, and the degree of fatty liver becomes more serious. There is a significant positive correlation be-tween the liver fat content measured by QCT and the severity of fatty liver in perimenopausal women. With the increase of liver fat content, fatty liver becomes more serious. The results of QCT showed that the liver fat content had high value in quantitative diagnosis of fatty liver and its se-verity.