肝硬化患者并发门静脉血栓的危险因素分析

目的 分析肝硬化患者并发门静脉血栓(PVT)的危险因素,为PVT的早诊早治提供临床依据.方法 收集2018-01～2020-12广西壮族自治区人民医院消化内科收治的170例肝硬化患者的临床病历资料,其中34例合并PVT为PVT组,另136例未合并PVT为对照组.比较两组患者在人口学资料、病因、实验室检查、影像学检查等方...

Analysis on the risk factors of portal vein thrombosis in patients with liver cirrhosis

Objective To analyze the risk factors of portal vein thrombosis(PVT)in patients with liver cirrhosis,and to provide clinical basis for early diagnosis and treatment of PVT.Methods The data of clinical medical records of 170 liver cirrhosis patients admitted to the Department of Gastroenterology,the People′s Hospital of Guangxi Zhuang Autonomous Region from January 2018 to December 2020 were collected.Among them,34 patients with PVT were taken as the PVT group,and the other 136 patients without PVT as the control group.The differences in demographic data,etiology,laboratory examination,imaging examination and other aspects were compared between the two groups.Multivariate logistic regression model was used to explore the risk factors of PVT in the liver cirrhosis patients.Results The proportion of width of main portal vein,prothrombin time(PT),splenectomy,spontaneous peritonitis,and Child-Pugh class C in the PVT group was greater than that in the control group,and the difference was statistically significant(P<0.05).The results of multivariate logistic regression analysis showed that prolonged PT and complicated spontaneous peritonitis were the risk factors of PVT in liver cirrhosis.Conclusion Prolonged PT and complicated spontaneous peritonitis are the risk factors of PVT in patients with liver cirrhosis,and clinicians should pay attention to screening and follow-up for the patients.