目的 探讨CT肝脏体积测量技术 在肝硬化患者肝脏功能Child-Pugh分级中 的应用价值。方法 将2012/5至2015/5来 我院进行检查并确诊的85例肝硬化患者纳 入本研究，按照患者肝脏功能Child-Pugh 分级分为A级组30例、B级组29例和C级组 26例。选取同期我院体检中心体检的60例 健康人作为对照组。4组入选者均进行CT 肝脏扫描，比较肝硬化组患者与对照组肝 脏各区域体积、不同Child-Pugh分级肝硬 化患者肝脏体积以及健康人不同年龄肝脏 体积差异。结果 肝硬化组患者左外叶和 尾叶体积明显高于对照组，左內叶、右前 叶、右后叶及总体积均明显低于对照组， 有统计学差异(P＜0.05)；肝硬化患者随 着Child-Pugh分级升高肝脏体积呈明显递 减趋势，三组间对比，有统计学差异(P ＜0.05)；对照组随年龄增长肝脏体积呈 明显递减趋势，三组间对比，有统计学差 异(P＜0.05)。结论 肝硬化患者肝脏体积 缩小程度与Child-Pugh分级呈负相关，CT 肝脏体积测量对患者肝脏功能Child-Pugh 分级具有重要参考价值。

Objective To explore the application on the liver function Child-Pugh classification for the patients with cirrhosis of liver by CT liver volume measurement techniques. Methods 85 cases of patients with cirrhosis of liver were divided into group A(30 cases), group B(29 cases) and group C(26 cases) according to liver function ChildPugh classification. 60 cases of healthy person were researched as the control group. The volume in each region of the liver, different Child - Pugh, hierarchical volume in patients with liver cirrhosis, healthy liver volume difference between different age were compared. Results The left lateral external lobe of liver, caudate lobe for the patients with cirrhosis of liver were higher than the control group(P<0.05). The left lobe, right anterior lobe, right rear leaf and total volume for the patients with cirrhosis of liver were lower than the control group(P<0.05). The Child - Pugh, classification of patients with liver cirrhosis liver volume was significantly decreasing trend(P<0.05); The liver volume was significantly decreasing trend along with the age growth(P<0.05). Conclusion It negative correlations patients with cirrhosis liver volume shrink degree and Child-Pugh, it has important reference value CT of the liver volume measurement of liver function in patients with Child-Pugh.