目的 探讨脾肝体积比与肝硬化病理改变间的关系.方法 通过手术方式获取所选患者标本,计算病理切片中的假小叶数目∶正常肝小叶数目,根据CT片计算脾肝体积比,统计假小叶数目∶正常肝小叶数目和脾肝体积比及患者术后肝功能评分的关系.结果 假小叶数目∶正常肝小叶数目和患者术后肝功能评分直接相关,随着假小叶数目∶正常肝小叶数目的 升高,患者术后改良肝功能评分明显升高(t=5.689,P＜0.001),同样假小叶数目∶正常肝小叶数目与脾肝体积比也密切相关(t=2.934,P＜0.001).结论 假小叶数目∶正常肝小叶数目可以考虑作为肝硬化的病理指标,脾肝体积比和肝硬化的病理改变程度密切相关.%Objective To investigate the relationship between pathological change in hepatocirrhosis and spleen-liver volume ratio. Methods All the cases were received from operations. The ratio of pseudolobule number to hepatic lobule number was calculated. Spleen-liver volume ratio was calculated by CT. Relationship among pseudolobule-hepatic lobule number ratio, spleen-liver volume ratio,and liver function was evaluated. Results Positive correlation was found between the pseudolobule-hepati lobule number ratio and p liver function (t =5. 689, P<0. 001) ,also pseudolobule-hepati lobule number ratio and spleen-liver volume ratio were closely related (t = 2. 934 ,P<0. 001). Conclusion Pseudolobule-hepati lobule number ratio could be regarded as a pathological index in assessment of hepatocirrhosis degree, and spleen-liver volume ratio showed an indirect correlation with hepatocirrhosis degree.
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