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门静脉速度预测,在切除术后的门静脉系统血栓与食道胃神经分泌

Jin-Lin Wang¹, Jian Li¹, Wen-Qiang Wang¹

¹Hepatic Surgical Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jie Fang Avenue, Wuhan, 430030, China.

Surgical endoscopy

|November 27, 2023

概括

门静脉血栓塞 (PVT) 是切除术后的风险,与食道胃神经化 (SED). 下门静脉速度 (PVV) 是PVT最强的预测指标,可进行术前风险评估.

科学领域:

肝病学肝病学是一种肝病学.
血管外科血管外科
放射学放射学是一门学科.

背景情况:

门静脉系统血栓塞 (PVST) 是一个严重的并发症,在脊髓切除术后与食管胃神经化 (SED) 在患有门高血压的肝硬化患者.
门静脉速度 (PVV) 在SED后对PVST的预测作用尚不清楚.

研究的目的:

为了研究手术前门静脉速度 (PVV) 和在食管胃除术 (SED) 后发生门静脉系统血栓症 (PVST) 之间的关系.
开发和验证基于PVV的PVST预测模型.

主要方法:

分析了一组562名患有SED的门性高血压的肝硬化患者.
在手术前使用双重多普勒超声波测量门静脉速度 (PVV).
后勤回归分析确定了风险因素,并为PVST预测开发和验证了一个名图.

主要成果:

在32.9%的患者中,PVST发生.
较低的手术前PVV (≤16.5厘米/秒) 被确定为PVST最强的独立风险因素.
与PVV>16.5厘米/秒 (8.5%) 的患者相比,PVV ≤16.5厘米/秒的患者的PVST发病率显著更高 (76.2%).
开发的基于PVV的名图表表显示出出色的预测性能 (c-统计 = 0.907).

结论:

手术前的门静脉速度 (PVV) 是一个强大的预测器门静脉系统血栓塞 (PVST) 后的切除术与食管胃 devascularization.
基于PVV的诺米图可以有效预测PVST的风险,有助于对肝硬化患者进行手术前风险分层.

关键词:

肝硬化是肝硬化的一种疾病.门口高血压的高血压.门静脉系统血栓塞的发生.门脉的速度是门脉的速度.脊椎切除术 (Splenectomy) 是一个切除脊椎的方法.

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