功能性残余肝脏体积与脾脏体积比对病人术后肝功能不全以及肝功能恢复的预测价值  

Effect of functional residual liver volume to spleen volume ratio(FreLSVR)on postoperative liver dysfunction and liver function recovery in patients

作　　者：鲍伟 BAO Wei(Department of Emergency,Zhongxiang People's Hospital,Hubei Province,Jingzhou,Zhongxiang 431900,China)

机构地区：[1]钟祥市人民医院急诊科,湖北荆门431900

出　　处：《临床外科杂志》2020年第8期750-752,共3页Journal of Clinical Surgery

摘　　要：目的探讨功能性残余肝脏体积与脾脏体积比(FreLSVR)对病人术后肝功能不全以及肝功能恢复的影响。方法 2016年6月~2018年8月入院行肝脏切除术治疗原发性肝细胞癌病人78例,对肝脏CT检查数据进行三维重建,计算病人残肝体积与脾脏体积比,并预测与肝功能之间的关系。结果 FreLSVR与病人肝功能相关,FreLSVR越大,病人术后肝功能越好,FreLSVR> 1.0组病人住院的中位时间为15天(8~22天),FreLSVR≤1.0住院时间中位数为21天(13~36天),两者住院时间比较差异有统计学意义(P<0.05)。结论 FreLSVR可反应病人术后肝功能不全以及肝功能恢复。Objective Exploring the effect of functional residual liver volume and spleen volume ratio(FreLSVR)on postoperative liver dysfunction and liver function recovery in patients.Methods A total of 78 patients with primary hepatocellular carcinoma who underwent liver resection from June 2016 to August 2018 were enrolled.The liver CT data were retrospectively analyzed.The residual liver volume and spleen volume were calculated after three-dimensional reconstruction and the relationship between functions.Results FreLSVR is associated with liver function in patients.The greater the FreLSVR,the better the postoperative liver function,and the median time of hospitalization in FreLSVR>1.0 is 15 days(8~22 days),while the median hospitalization time of FreLSVR≤1.0 was 21 days(13~36 days),and the difference in hospital stay was statistically significant(P<0.05).Conclusion Functional residual liver volume to spleen volume ratio(FreLSVR)can reflect the recovery of postoperative liver function.

关 键 词：肝硬化 原发性肝癌 肝功能实验 脾残肝体积比 三维重建 

分 类 号：R735.7[医药卫生—肿瘤] R575.2[医药卫生—临床医学]