中国临床解剖学杂志 ›› 2023, Vol. 41 ›› Issue (1): 23-27.doi: 10.13418/j.issn.1001-165x.2023.1.05

• 断层影像解剖 • 上一篇    下一篇

基于CT图像对人体肝副裂的观察研究

何祥发1,    邱银汝1, 王茹1, 叶丽丽1, 梁明1, 庞瑜1, 潘伟1, 刘斯润2*   

  1. 1.东莞康华医院放射科,  广东   东莞    523000;    2. 暨南大学附属第一医院放射科,  广州   510000
  • 收稿日期:2022-01-09 出版日期:2023-01-25 发布日期:2023-02-08
  • 通讯作者: 刘斯润,教授,主任医师,E-mail: tlsr@jnu.edu.cn
  • 作者简介:何祥发(1985-),男,广东博罗人,主治医师,研究方向:心血管系统及消化系统影像诊断,E-mail: xinghai300@aliyun.com

Study of accessory fissure of human liver based on CT images

He Xiangfa1, Qiu Yinru1, Wang Ru1, Ye Lili1, Liang Ming1, Pang Yu1, Pan Wei1, Liu Sirun2*    

  1. 1.Department of Radiology, Dongguan Kanghua Hospital, Dongguan 52300, China; 2. Department of Radiology, The First Affiliated Hospital of Jinan University, Guangzhou 510000, China
  • Received:2022-01-09 Online:2023-01-25 Published:2023-02-08

摘要: 目的    总结分析肝副裂的CT影像,以期提高对肝副裂的认识,避免误诊及手术损害。 方法    回顾性分析2020年9月至12月东莞康华医院1449例上腹部CT,观察肝副裂的检出率及影像表现,记录其分布及形态。 结果    1449例CT中共检出205例具有肝副裂,其CT发现率为14.1%(205/1449),其中男性125例(61%),女性80例(39%),不同性别肝副裂检出率无统计学差异(c2=0.592,P[>]0.05);所检出肝副裂分布以肝右前叶下段发生率最高(55%);随着年龄的增长,肝副裂的数目、长度、宽度随之增加,且具有统计学差异(P[<]0.05);肝副裂CT影像可表现为波浪型(24例)、膈褶型(5例)、楔型(107例)、沟型(68例)及不规则型(1例)。 结论    肝副裂在人群中分布广泛,多排螺旋CT可有效地观察到肝副裂的存在,了解其形态、分布特点,有助于减少对肝副裂的误诊。

关键词:  , CT,  ,  , 肝副裂,  ,  ,

Abstract: Objective    To summarize and analyze the CT images of accessory fissure of liver, in order to improve the understanding of accessory fissure of liver and avoid misdiagnosis and surgical damage. Methods    One thousand four hundred and forty-nine cases of upper abdominal CT in Dongguan Kanghua Hospital from September to December 2020 were retrospectively analyzed. The detection rate and imaging manifestations of accessory fissure of liver were observed, and their distribution and morphology were recorded.    Results    A total of 205 cases of accessory fissure of liver were detected in 1449 cases, and the CT detection rate was 14.1% (205/1449), including 125 cases of male (61%) and 80 cases of female (39%). There was no statistical difference in the detection rate of accessory fissure of liver between different genders (c2=0.592, P[>]0.05). The highest incidence of accessory fissure was found in the lower segment of the right anterior lobe (55%). With the increasing of age, the number, length and width of accessory fissure of liver increased, with   statistical difference (P<0.05). The CT images of accessory fissure of liver showed wavy-type (24 cases), diaphragmatic muscular slip-type (5 cases), wedge-type (107 cases), groove-type (68 cases) and irregular type (1 case).    Conclusions    The accessory fissures of liver are widely distributed in human population. Multi-slice spiral CT can effectively observe the existence of accessory fissure of liver. With the understanding its morphology and distribution characteristics, we can reduce the misdiagnosis of accessory fissure of liver.

Key words: Computed tomography,  ,  , Accessory fissures of liver,  ,  , Liver

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