[1]于 翔,谢 坪,成思航,等.经颈静脉肝内门体分流术前外周血炎症指标对术后肝性脑病的预测价值 [J].介入放射学杂志,2021,30(09):937-940.
 YU Xiang,XIE Ping,CHENG Sihang,et al.The clinical value of preoperative peripheral blood inflammatory markers in predicting the occurrence of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt[J].journal interventional radiology,2021,30(09):937-940.
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经颈静脉肝内门体分流术前外周血炎症指标对术后肝性脑病的预测价值
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年09
页码:
937-940
栏目:
临床研究
出版日期:
2021-09-25

文章信息/Info

Title:
The clinical value of preoperative peripheral blood inflammatory markers in predicting the occurrence of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt
作者:
于 翔 谢 坪 成思航 曹 磊 顾 露 朱 玥
Author(s):
YU Xiang XIE Ping CHENG Sihang CAO Lei GU Lu ZHU Yue.
Department of Radiology, Sichuan Provincial People’s Hospital, Sichuan Provincial Academy of Medical Sciences, Chengdu, Sichuan Province 610041, China
关键词:
【关键词】 经颈静脉肝内门体分流术 肝性脑病 炎性反应 评分系统
文献标志码:
A
摘要:
【摘要】 目的 探讨基于全身炎性反应相关血液指标评分系统预测经颈静脉肝内门体分流术(TIPS)后肝性脑病(HE)的价值。方法 回顾性分析2015年2月至2019年12月在四川省人民医院接受TIPS治疗的106例肝硬化患者临床资料。将TIPS术前患者超敏C反应蛋白(hsCRP)、中性粒细胞/淋巴细胞比值(NLR)、血小板/淋巴细胞比值(PLR)、全身免疫- 炎性指数(SII)、改良Glasgow预后评分(mGPS)纳入单因素分析,获取有统计学意义的变量及临床认为与HE发生密切相关的变量后,进行二元logistic回归多因素分析。结果 多因素分析结果显示,hsCRP(P=0.025)、门静脉压力梯度下降百分比(PPG%)(P=0.022)与TIPS术后HE密切相关。NLR、PLR、SII、mGPS与TIPS术后HE均无显著相关性(P>0.05)。联合hsCRP与PPG%构建的预测模型曲线下面积(AUC)为0.723。 结论 除PPG%外,hsCRP是TIPS术后HE的独立危险因素。

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备注/Memo

备注/Memo:
(收稿日期:2020-12-23)
(本文编辑:边 佶)
更新日期/Last Update: 2021-09-13