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[HVPG最小入侵时代:基于前臂静脉方法的探索]

J T Wang¹, L Li², M Niu³

¹Hebei Province Key Laboratory of Hepatocirrhosis and Portal Hypertension, Xingtai People's Hospital Affiliated to Hebei Medical University, Xingtai 054000, China.

Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology

|February 6, 2024

概括

使用前臂静脉方法测量肝血管压力梯度 (HVPG) 对肝硬化患者来说是安全有效的. 这种方法提供了一个可行的替代传统的横或转移技术.

科学领域:

肝病学肝病学是一种肝病学.
干预性放射学干预性放射学
临床测量临床测量

背景情况:

肝静脉压梯度 (HVPG) 测量对于在肝硬化中管理门门高血压至关重要.
目前的标准方法包括跨关和关路线,这些路线具有潜在的风险.
需要一种不那么侵入性的HVPG评估方法.

研究的目的:

为了评估前臂静脉方法的安全性和有效性,用于HVPG测量.
为了比较前臂静脉方法与HVPG评估的既定方法.

主要方法:

这是一项前性多中心研究,涉及43名肝硬化患者.
通过右侧中间肘部或基底静脉进行的HVPG测量.
使用SPSS 22.0分析的数据,包括关系的皮尔森相关性.

主要成果:

在95.3% (41/43) 的患者中通过前臂方法成功测量了HVPG.
没有报告严重并发症.
HVPG与查尔德-普格评分,白蛋白-白素评分,洛克指数,肝硬度和硬度正相关;与白素负相关.

结论:

测量HVPG的前臂静脉方法是一种安全和可行的替代方案.
这种方法与已确定的肝病严重程度的临床和成像标志物有很好的相关性.

关键词:

前臂静脉前臂静脉肝脏静脉压力梯度的梯度肝硬化是肝硬化的一种疾病.

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