摘要: |
目的:探讨吲哚菁绿(indocyanine green, ICG)试验联合Child-Pugh分级联合评估老年原发性肝细胞癌(简称肝癌)手术患者肝功能储备的可行性。方法:选择2008年1月至2012年12月接受肝癌手术的患者104例,采用Child-Pugh分级和(或)联合吲哚氰绿15 min潴留率(ICG R15)评估老年患者肝功能储备,分析术后患者肝功能恢复情况和联合评估的价值。结果:ICG R15与Child-Pugh评分正相关(r=0.81,P<0.0001);经联合评分系统评估的患者术后恢复优于单独Child-Pugh分级患者。结论:ICG R15联合Child-Pugh评估老年肝癌患者肝功能储备的效果优于单用Child-Pugh分级。 |
关键词: Child-Pugh分级 吲哚菁绿 肝功能储备 肝细胞癌 |
DOI: |
分类号:R 735.7 |
基金项目:江苏省南通市卫计委重点病种的临床规范化诊疗项目(MS32015028),江苏省南通市卫计委医学重点学科建设(YY201207) |
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The value of indocyanine green test combined with Child-Pugh classification in evaluating perioperative liver function reserve in elderly patients with hepatocellular carcinoma |
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Abstract: |
Objective:To investigate the value of indocyanine green (ICG) test combined with Child-Pugh classification in evaluating perioperative liver function reserve in elderly patients with hepatocellular carcinoma (HCC). Methods:A total of 104 elderly patients with HCC treated in our hospital from January 2008 to December 2012 were selected. The liver function was evaluated by Child-Pugh classification or Child-Pugh classification combined with ICG R15 in these patients before operation, and the liver function after operation and the value of combination assessment were analyzed. Results:There was positive correlation between ICG R15 score Child-Pugh (r=0.81, P<0.0001). Patients evaluated by Child-Pugh classification combined with ICG R15 had a better post-operation recovery than those evaluated by Child-Pugh classification alone. Conclusions:Child-Pugh classification combined with ICG R15 might be superior to Child-Pugh classification alone in evaluating perioperative liver function reserve in elderly patients with HCC. |
Key words: Child-Pugh classification indocyanine green hepatic reserve function hepatocellular carcinoma |