目的 探讨CT平扫及增强扫描对 慢性病毒性肝炎患者肝炎分级的判断价 值。方法 选取我院于2013年12月-2015 年10月收治的107例慢性病毒性肝炎患者 为研究对象,均予以CT平扫和增强扫描检 查。记录所有受试者肝炎分级情况，观察 不同肝炎分级患者CT征象的差异。结果 慢性病毒性肝炎患者CT扫描图像可见胆囊 壁增厚、胆囊窝水肿、淋巴结肿大、腹腔 积液、脾脏增大、肝内血管周围“晕环 征”等征象，重度慢性肝炎者出现上述异 常征象的比例显著高于轻、中度患者，差 异具有统计学意义(P<0.05)。结论 不同 肝炎分级的慢性病毒性肝炎患者CT扫描征 象间存在一定差异，重度慢性肝炎者多伴 随胆囊窝水肿、腹腔积液、肝脏内血管周 围“晕环征”等CT征象，医师可以此作为 评估患者病情严重程度的辅助手段以节省 诊疗时间。

Objective To investigate the value of CT scan and enhanced scan in the judgment of hepatitis grading of patients with chronic viral hepatitis. Methods 107 patients with chronic viral hepatitis treated in our hospital from December 2013 to October 2015 were selected as the research objects and all were given CT plain scan and enhanced scan. The hepatitis grading of all subjects was recorded and the differences in CT signs of patients with different hepatitis grading were observed. Results The CT scanning images of patients with chronic viral hepatitisshowed that the gallbladder wall was thickened and there were edemain fossa for gallbladder, tenlargement of lymph nodes, ascites, splenic enlargement and halo signs around intrahepatic vessels, etc. The proportion of patients with severe chronic viral hepatitis having above mentioned abnormal signs was significantly higher than those of mild and moderate patients(P<0.05). Conclusion There are some differences in CT scanning signs between patients withchronic viral hepatitis of different hepatitis grading. Most patients with severe chronic hepatitis are complicated withedemain fossa for gallbladder,ascites,halo signs around intrahepatic vessels and other CT signs. Doctors can take this as asupplementary method of evaluating the severity of patients' disease to save the time of diagnosis and treatment.