不同程度肝硬化门静脉血栓的临床特点及意义

目的探讨不同严重程度门静脉血栓（PVT）肝硬化患者的肝功能及门静脉高压并发症的临床特点,明确PVT的临床意义。方法回顾性收集2014年1月-2015年6月首都医科大学附属北京佑安医院收治的肝硬化合并PVT患者178例,根据血栓严重程度分为单支血栓组（n=109）和多支血栓组（n=69）。记录患者的病因、临床表现、实验室结果及胃镜检查结果。符合正态分布的计量资料组间比较采用t检验,不符合正态分布的计量资料组间比较采用Wilcoxon秩和检验,计数资料组间比较采用χ^2=验。结果单支血栓组中乙型肝炎肝硬化患者比例明显低于多支血栓组（50.5%vs 71.0%,χ^2=7.350,P=0.008）,...

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Published in临床肝胆病杂志 Vol. 33; no. 3; pp. 472 - 475
Main Author 聂巍 林伟 梁珊 范作鹏 仇丽霞 刘义荣 马丽霞 韦新焕 胡中杰 张晶
Format Journal Article
LanguageChinese
Published 首都医科大学附属北京佑安医院丙肝与中毒性肝病科,北京,100069 2017
Subjects
肝硬化
静脉血栓形成
高血压,门静脉
hypertension,portal
肝硬化
liver cirrhosis
venous thrombosis
静脉血栓形成
高血压,门静脉
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Summary:目的探讨不同严重程度门静脉血栓（PVT）肝硬化患者的肝功能及门静脉高压并发症的临床特点,明确PVT的临床意义。方法回顾性收集2014年1月-2015年6月首都医科大学附属北京佑安医院收治的肝硬化合并PVT患者178例,根据血栓严重程度分为单支血栓组（n=109）和多支血栓组（n=69）。记录患者的病因、临床表现、实验室结果及胃镜检查结果。符合正态分布的计量资料组间比较采用t检验,不符合正态分布的计量资料组间比较采用Wilcoxon秩和检验,计数资料组间比较采用χ^2=验。结果单支血栓组中乙型肝炎肝硬化患者比例明显低于多支血栓组（50.5%vs 71.0%,χ^2=7.350,P=0.008）,单支血栓组自身免疫性肝硬化比例明显高于多支血栓组（11.0%vs 0,χ^2=8.145,P=0.004）;单支血栓组的PTA水平低于多支血栓组[（63.58±21.12）%vs（71.84±16.68）%,t=-2.701,P=0.008];单支血栓组食管静脉曲张重度比例显著低于多支血栓组（57.7%vs81.1%,χ^2=8.921,P=0.012）;单支血栓组食管静脉曲张红色征阳性比例明显低于多支血栓组（64.1%vs 86.8%,χ^2=8.298,P=0.005）。结论门静脉多支血栓并未影响患者的肝功能,门静脉多支血栓患者较单支血栓患者食管静脉曲张更加显著。
Bibliography:NIE Wei, LIN Wei, LIANG Shan, et al. （ Department of Hepatitis C ＆ Toxic Liver Diseases, Beijing YouAn Hospital, Capital Medical University, Beijing 100069, China）
Objective To investigate liver function and clinical features of portal hypertension complications in cirrhotic patients with different degrees of PVT,and to clarify the clinical significance of PVT.Methods A retrospective analysis was performed for 178 cirrhotic patients with PVT who were admitted to Beijing You An Hospital,Capital Medical University,from January 2014 to June 2015,and according to the severity of thrombosis,they were divided into single thrombosis group（109 patients） and multiple thrombosis group（69 patients）.The etiology,clinical manifestation,laboratory results,and gastroscopic findings were recorded.The t-test was used for comparison of normally distributed continuous data,the Wilcoxon rank sum test was used for comparison of non-normally distributed continuous data between groups,and the chi-square test was used for comparison
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2017.03.015