肝体积变化率与肝瞬时弹性值对评估门静脉高压症患者手术前后肝储备功能的价值  

Evaluating hepatic reserve function for liver cirrhosis patients complicated with portal hypertension in perioperative period with liver volume change rate and liver transient elastography

作　　者：鲁岩[1] 穆毅[1] 蒋力[1] 张珂[1] 黄容海[1] 贾哲[1] 李宝亮[1] 赫嵘[1] 丁振昊[1] 李勤涛[1] 郭立民[1] 

机构地区：[1]首都医科大学附属北京地坛医院肝胆外科,100015

出　　处：《中华临床医师杂志（电子版）》2013年第12期86-88,共3页Chinese Journal of Clinicians(Electronic Edition)

基　　金：首都临床特色应用研究(Z111107058811048)

摘　　要：目的探讨以肝体积变化率(R)及肝脏瞬时弹性值(FS)补充Child-Pugh评分所形成的新肝储备评价模型在评估肝硬化门脉高压手术患者肝储备功能的可行性。方法对2009年6月至2010年6月113例肝硬化门脉高压接受门奇断流术病例,分别于术前和术后1个月以Child-Pugh评分与新评价模型评估肝储备功能,了解两种方法预测术后肝功能代偿情况的准确率。结果 Child-Pugh评分预测术后肝功能代偿良好准确率为63.33%,新评价模型预测术后肝功能代偿良好准确率为86.49%(P<0.05);Child-Pugh评分预测术后肝功能代偿轻度不良准确率为69.87%,新评价模型预测术后肝功能代偿轻度不良准确率为87.67%(P<0.05)。结论联合肝体积变化率与肝瞬时弹性值的新肝储备评价模型能够提高Child-Pugh评分对肝硬化门脉高压手术患者储备功能评估的准确性。Objective To probe the feasibilities of evaluating hepatic reserve function by a new classification, this based on Child-Pugh classification and supplemented by liver volume and liver transient elastography .Methods Between June 2009 and June 2010 ,113 patients with portal hypertension were treated with Child-Pugh classification and new classification to evaluate their hepatic reserve function on pre -and-post operative time,and the precision of two classifications to predict hepatic functional compensation were focused on .Results The precision of Child-Pugh classification to predict fine hepatic functional compensation and mild hepatic functional decompensation was 63.33%and 69.87%,and which was 86.49%and 87.67%for new classification （ P〈0.05 ） . Conclusion New classification is better than Child-Pugh classification in evaluating hepatic reserve function for liver cirrhosis patients complicated with portal hypertension .

关 键 词：高血压 门静脉 肝功能 肝脏体积 肝瞬时弹性值 

分 类 号：R657.34[医药卫生—外科学]