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吲哚菁绿15分钟滞留率对肝癌合并门静脉高压症患者经颈静脉肝内门体分流术后肝性脑病发生风险的预测价值

王重 岳振东 赵洪伟 王磊 范振华 吴一凡 董成宾 张裕 刘福全

王传敏, 孟忠吉, 陈悦, 刘莉. 血清降钙素原检测对肝衰竭合并感染的早期诊断价值[J]. 临床肝胆病杂志, 2017, 33(6): 1137-1140. DOI: 10.3969/j.issn.1001-5256.2017.06.024.
引用本文: 王传敏, 孟忠吉, 陈悦, 刘莉. 血清降钙素原检测对肝衰竭合并感染的早期诊断价值[J]. 临床肝胆病杂志, 2017, 33(6): 1137-1140. DOI: 10.3969/j.issn.1001-5256.2017.06.024.
Wang ChuanMin, Meng ZhongJi, Chen Yue, Liu Li. Value of serum PCT in early diagnosis of bacterial infection in patients with liver failure[J]. J Clin Hepatol, 2017, 33(6): 1137-1140. DOI: 10.3969/j.issn.1001-5256.2017.06.024.
Citation: Wang ChuanMin, Meng ZhongJi, Chen Yue, Liu Li. Value of serum PCT in early diagnosis of bacterial infection in patients with liver failure[J]. J Clin Hepatol, 2017, 33(6): 1137-1140. DOI: 10.3969/j.issn.1001-5256.2017.06.024.

吲哚菁绿15分钟滞留率对肝癌合并门静脉高压症患者经颈静脉肝内门体分流术后肝性脑病发生风险的预测价值

DOI: 10.3969/j.issn.1001-5256.2020.09.017
基金项目: 

首都卫生发展科研专项(2018-1-2081); 

详细信息
  • 中图分类号: R735.7

Value of indocyanine green retention rate at 15 minutes in predicting the risk of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt in liver cancer patients with portal hypertension

Research funding: 

 

  • 摘要:

    目的分析吲哚菁绿15 min滞留率(ICG-R15)、Child-Turcotte-Pugh(CTP)分级和终末期肝病模型(MELD)评分预测肝癌合并门静脉高压症患者经颈静脉肝内门体分流术(TIPS)后肝性脑病(HE)发生的临床价值。方法回顾性分析2015年1月-2017年6月在首都医科大学附属北京世纪坛医院经TIPS治疗的95例肝癌合并门静脉高压症患者的临床资料,根据TIPS术后是否发生HE分为HE组(n=24)和非HE组(n=71);所有患者术前均进行ICG-R15测定、CTP分级、MELD评分。计量资料满足正态分布的2组间比较采用t检验,不满足正态分布的2组间比较采用Mann-Whitney U检验,计数资料2组间比较采用χ2检验和Fisher精确检验。采用单因素、多因素logistic回归分析TIPS术后HE发生相关的危险因素。采用受试者工作特征曲线(ROC曲线)分析比较ICG-R15、CTP和MELD评分对HE发生的预测价值。结果 TIPS术后12个月内HE发生率为25.2%(24/95)。logistic单因素分析显示,TIPS术后HE发生的相关因素有支架位置(P=0.02...

     

  • [1] Cancer minimally invasive therapy professional committee of china cancer association,Asian society for tumor ablation.Minimally invasive and multi-disciplinary comprehensive diagnosis and treatment of hepatocellular carcinoma:2018guangzhou consensus[J]. J Clin Hepatol,2019,35(10):2176-2184.(in Chinese)亚太影像引导下肿瘤微创治疗协会,中国抗癌协会肿瘤微创治疗专业委员会,亚洲肿瘤消融学会.肝细胞癌微创与多学科综合诊疗———2018广州共识[J].临床肝胆病杂志,2019,35(10):2176-2184.
    [2] SANKAR K,MOORE CM. Transjugular intrahepatic portosystemic shunts[J]. JAMA,2017,317(8):880.
    [3] ROWLEY MW,CHOI M,CHEN S,et al. Refractory hepatic encephalopathy after elective transjugular intrahepatic portosystemic shunt:Risk factors and outcomes with revision[J].Cardiovasc Intervent Radiol,2018,41(11):1765-1772.
    [4] KRAGLUND F,JEPSEN P,AMANAVICIUS N,et al. Longterm effects and complications of the transjugular intrahepatic portosystemic shunt:A single-centre experience[J]. Scand J Gastroenterol,2019,54(7):899-904.
    [5] KOKUDO T,HASEGAWA K,AMIKURA K,et al. Assessment of preoperative liver function in patients with hepatocellular carcinoma-The Albumin-Indocyanine Green Evaluation(ALICE)grade[J]. PLo S One,2016,11(7):e0159530.
    [6] WANG YY,ZHAO XH,MA L,et al. Comparison of the ability of Child-Pugh score,MELD score,and ICG-R15 to assess preoperative hepatic functional reserve in patients with hepatocellular carcinoma[J]. J Surg Oncol,2018,118(3):440-445.
    [7] AZUMI M,SUDA T,TERAI S,et al. Prognostic impact of indocyanine green plasma disappearance rate in hepatocellular carcinoma patients after radiofrequency ablation:A prognostic nomogram study[J]. Intern Med,2017,56(9):1001-1007.
    [8] SONG P,INAGAKI Y,WANG Z,et al. High levels of gammaglutamyl transferase and indocyanine green retention rate at 15min as preoperative predictors of tumor recurrence in patients with hepatocellular carcinoma[J]. Medicine(Baltimore),2015,94(21):e810.
    [9] LLOVET JM,ZUCMAN-ROSSI J,PIKARSKY E,et al. Hepatocellular carcinoma[J]Nat Rev Dis Primers,2016,2:16018.
    [10] International group,Chinese Society of Radiology,Chinese medical Association. Expert consensus on transjugular intrahepatic portosystemic shunt[J]. J Clin Hepatol,2017,33(7):1218-1228.(in Chinese)中华医学会放射学分会介入学组.经颈静脉肝内门体分流术专家共识[J].临床肝胆病杂志,2017,33(7):1218-1228.
    [11] ZOU H,YANG X,LI Q L,et al. A comparative study of albumin-bilirubin score with child-pugh score,model for endstage liver disease score and indocyanine green r15 in predicting posthepatectomy liver failure for hepatocellular carcinoma patients[J]. Dig Dis,2018,36(3):236-243.
    [12] SIA D,VILLANUEVALL A,FRIEDMAN SL,et al. Liver cancer cell of origin,molecular class,and effects on patient prognosis[J]. Gastroenterology,2017,152(4):745-761.
    [13] FERLAY J,SOERJOMATARM I,DIKSHIT R,et al. Cancer incidence and mortality worldwide:Sources,methods and major patterns in GLOBOCAN 2012[J]. Int J Cancer,2015,136(5):e359-e386.
    [14] MARENOGO A,ROSSO C,BUGIANESI E. Liver cancer:Connections with obesity,fatty liver,and cirrhosis[J]. Annu Rev Med,2016,67:103-117.
    [15] MONTAGNESE S,RUSSO FP,AMODIO P,et al. Hepatic encephalopathy 2018:A clinical practice guideline by the Italian Association for the Study of the Liver(AISF)[J]. Dig Liver Dis,2019,51(2):190-205.
    [16] HIWATASHIL K,UENO S,SAKODA M,et al. The evaluation of liver function and surgical influence by ICGR15 after chemotherapy for colorectal liver metastases[J]. J Cancer,2016,7(5):595-599.
    [17] HE F,DAI S,XIAO Z,et al. Pathological predictors of shunt stenosis and hepatic encephalopathy after transjugular intrahepatic portosystemic shunt[J]. Biomed Res Int,2016,2016:3681731.
    [18] LUO SH,CHU JG,HUANG H,et al. Targeted puncture of left branch of intrahepatic portal vein in transjugular intrahepatic portosystemic shunt to reduce hepatic encephalopathy[J].World J Gastroenterol,2019,25(9):1088-1099.
    [19] KAPLAN DE,DAI F,AYTAMAN A,et al. Development and performance of an algorithm to estimate the child-turcottepugh score from a national electronic healthcare database[J]. Clin Gastroenterol Hepatol,2015,13(13):2333-2341. e1-6.
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