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萨尔科佩尼亚是转后肝脏内移植系统性shunt肝脏脑病变和死亡率的危险因素:系统性审查和元分析
Zohaib Ahmed1, Joyce Badal2,3, Manesh Kumar Gangwani4
1Department of Internal Medicine, University of Toledo, Toledo, OH, USA.
概括
在肝硬化患者中,肉类显著增加了肝脑病变 (HE) 的风险和经过横内肝移植系统分流 (TIPS) 程序后的死亡率. 这一发现凸显了在考虑TIPS时评估肉症的重要性.
科学领域:
- 肝病学和干预性辐射学
- 临床结果研究研究
背景情况:
- 横性肝内移植系统分流 (TIPS) 对于在肝硬化中管理门门高血压至关重要,但伴随着肝脏脑病变 (HE) 等风险.
- 预测TIPS后的HE仍然具有挑战性,目前的模型专注于死亡率 (例如,MELD得分).
- 萨科佩尼亚作为TIPS后HE和死亡率的预测因素的作用需要进一步调查.
结论:
- 麻症是肝脏脑病变 (HE) 和 TIPS 患者的死亡率的重要风险因素.
- 肉症的存在应该是TIPS在肝硬化患者的风险益处评估中的一个关键考虑因素.
- 需要进行进一步的研究,以阐明肉症和其他风险因素在预测TIPS后结果中的临床实用性.
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