经颈静脉肝内门体分流术预后模型的研究现状
DOI: 10.3969/j.issn.1001-5256.2023.05.030
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:李慧负责课题设计,资料分析,撰写论文,修改论文;夏至波、肖年军参与收集数据;韩者艺、宁守斌、褚建国负责拟定写作思路,指导撰写文章并最后定稿。
Current research status of prognostic models for transjugular intrahepatic portosystemic shunt
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摘要: 经颈静脉肝内门体分流术(TIPS)是治疗失代偿期肝硬化门静脉高压并发症的一种安全有效的方法。目前存在多种预后评分工具用于TIPS不良预后的危险分层。简述了当前临床中应用较多的7种TIPS预后评分工具,并总结了每种评分工具的相关临床研究证据。通过文献综述表明,当前尚无充分研究证据能够明确TIPS的最优预后评分工具。未来临床研究应更全面地探究不同评分工具对TIPS近期及远期不良预后事件预测能力的优劣,以及结合新的预后相关标志物开发新的预后评分工具。
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关键词:
- 门体分流术, 经颈静脉肝内 /
- 肝硬化 /
- 预后 /
- 模型,统计学
Abstract: Transjugular intrahepatic portosystemic shunt (TIPS) is a safe and effective method for the treatment of portal hypertension complications in patients with decompensated liver cirrhosis. At present, there are many prognostic scoring tools for risk stratification of poor prognosis after TIPS. This article briefly introduces seven prognostic scoring tools commonly used for TIPS and summarizes the clinical research evidence of each scoring tool. The literature review shows that there is currently no sufficient research evidence to determine the optimal prognostic scoring tool after TIPS. Future clinical studies should comprehensively explore the advantages and disadvantages of different scoring tools in predicting short- and long-term adverse prognostic events after TIPS and develop new prognostic scoring tools in combination with new prognostic markers. -
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