| TIPS治疗食管胃底静脉曲张出血预后影响因素分析 |
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| 引用本文： | 郑晖,黄兢姚,黄宁,谢杭,林俊清,池桢,柯坤,严乐业,杨维竹.TIPS治疗食管胃底静脉曲张出血预后影响因素分析[J].中国介入影像与治疗学,2019,16(5):270-274. |
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| 作者姓名： | 郑晖 黄兢姚 黄宁 谢杭 林俊清 池桢 柯坤 严乐业 杨维竹 |
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| 作者单位： | 福建医科大学附属协和医院介入科 |
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| 基金项目： | 福建省微创医学中心建设项目（No.[2017]171）。 |
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| 摘 要： | 目的分析影响TIPS治疗食管胃底静脉曲张出血(EGVB)预后的因素。方法回顾性分析68例接受TIPS治疗的EGVB患者的资料。采用Kaplan-Meier方法计算术后累积生存率,不同患者间生存率比较采用log-rank检验。以Cox回归模型分析影响预后的因素,并以ROC曲线确定其预测经TIPS治疗后EGVB患者预后的最佳截点。结果 TIPS术后患者1、2、3年累积生存率分别为90.7%、82.2%和77.9%。患者年龄、术前血清白蛋白为影响TIPS治疗EGVB的预后因素。ROC曲线分析显示,以患者年龄、术前血清白蛋白评估EGVB患者TIPS术后1年生存预后的AUC分别为0.923(P=0.001)和0.183(P=0.011),年龄67.5岁为最佳截点。年龄≤67.5岁患者术后1年累积生存率明显高于年龄67.5岁者(96.4%vs 64.3%,χ~2=10.785,P=0.001)。结论年龄及术前血清白蛋白是预测TIPS治疗EGVB患者生存情况的独立因素;年龄67.5岁患者预后较差。
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| 关 键 词： | 门体分流术 经颈静脉肝内 食管和胃静脉曲张 出血 预后 |
| 收稿时间： | 2018/7/23 0:00:00 |
| 修稿时间： | 2019/4/14 0:00:00 |
Prognostic factors of TIPS in treatment of gastroesophageal varices bleeding |
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| ZHENG Hui,HUANG Jingyao,HUANG Ning,XIE Hang,LIN Junqing,CHI Zhen,KE Kun,YAN Leye and YANG Weizhu.Prognostic factors of TIPS in treatment of gastroesophageal varices bleeding[J].Chinese Journal of Interventional Imaging and Therapy,2019,16(5):270-274. |
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| Authors: | ZHENG Hui HUANG Jingyao HUANG Ning XIE Hang LIN Junqing CHI Zhen KE Kun YAN Leye and YANG Weizhu |
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| Institution: | Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China,Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China,Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China,Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China,Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China,Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China,Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China,Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China and Department of Interventional Radiology, Fujian Medical University Union Hospital, Fuzhou 350001, China |
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| Abstract: | |
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| Keywords: | portosystemic shunt transjugular intrahepatic esophageal and gastric varices hemorrhage prognosis |
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