CAJ | 학술논문

目的探讨吲哚菁绿试验与Child-Pugh分级在评估门脉高压症手术患者中的意义.方法对60例脾切除联合贲门周围血管离断术病人术前测定吲哚菁绿15 min滞留率(ICGR15)及手术前、术后一周常规肝功能检查.结果 Child-Pugh A、B、C级三组ICGR15分别为(17.8±11.5)％、(30.3±11.12)％、(45.28±6.78)％,各组间比较差异有统计学意义(P＜0.01).术后Child-Pugh分级由A级变为B级或由B级变为C级的患者术前ICGR15明显高于术前、术后Child-Pugh分级评分不变者(P＜0.05).结论联合ICGR15和Child-Pugh评分分级能提高术前对于肝储备功能评估具有准确性.
목적 탐토신타정록시험여Child-Pugh분급재평고문맥고압증수술환자중적의의.방법 대60례비절제연합분문주위혈관리단술병인술전측정신타정록15 min체류솔(ICGR15)급수술전、술후일주상규간공능검사.결과 Child-Pugh A、B、C급삼조ICGR15분별위(17.8±11.5)％、(30.3±11.12)％、(45.28±6.78)％,각조간비교차이유통계학의의(P＜0.01).술후Child-Pugh분급유A급변위B급혹유B급변위C급적환자술전ICGR15명현고우술전、술후Child-Pugh분급평분불변자(P＜0.05).결론 연합ICGR15화Child-Pugh평분분급능제고술전대우간저비공능평고구유준학성.
Objective To assess the value of the indocyanine green test and Child-Pugh grading test in evaluation of surgical treatment of portal hypertension.Methods Clinical data of 60 cases of patients who received surgical treatment in People' s Hospital of Henan during January 2014 to July 2010 were collected.The indocyanine green 15 min retention rates (ICGR15) and one week before and after the operation routine liver function were tested.Results ICGR15 of groups of Child-Pugh grade A,B,C were respectively (17.8 ±11.5)％,(30.3 ±11.12)％,(45.3 ±6.8)％,and the differences among each group were significant (P ＜0.01).Postoperative Child-Pugh class from grade A to B or from B to C level in patients with preoperative ICGR15 is significantly higher than the cases whose Child-Pugh grading did not change before and after the surgery (P ＜ 0.05).Conclusions Combination of ICGR15 and Child-Pugh grading can improve the accuracy of the for preoperative liver reserve function evaluation.