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SPECT判断切肝量及其与肝癌术后肝功能不全的关系

孙永刚 李建生 荚卫东 许戈良 程义壮 马金良 余继海

实用肝脏病杂志2011,Vol.14Issue(2):135-137,3.
实用肝脏病杂志2011,Vol.14Issue(2):135-137,3.DOI:10.3969/j.issn.1672-5069.2011.02.019

SPECT判断切肝量及其与肝癌术后肝功能不全的关系

Estimation of hepatic resection volume by SPECT in patients with primary liver cacer

孙永刚 1李建生 1荚卫东 1许戈良 1程义壮 1马金良 1余继海1

作者信息

  • 1. 230001,合肥市,安徽医科大学附属省立医院肝脏外科肝癌研究中心
  • 折叠

摘要

Abstract

Objective To investigate the evaulation of liver reserve by single-photon emission computed tomography(single photon emission computed tomography,SPECT). Method SPECT were conducted in 46 patients with primary liver cancer and the 5 min heart and liver-related index(5 minutes heart liver index.HLI).clearance index (blood clearance index,HH15),receptor index (receptor index,LHL15)and the peak value were measured.Results Preoperative HH15 in 31 patients with postoperative good liver function tests was much lower than that in 15 patients with liver failure (P<0.05).while ICCJR15 and Child-Pugh scores were not significantly different in the two groups (P>0.05);when HH15≥0.533.the patients had much higher liver failure incidence as compared to those with HH15<0.533( P<0.05 ). Conclusion HH15 is a sensitive indicator of liver functional reserve.

关键词

肝癌/肝叶切除/肝功能不全/单光子发射型计算机断层显像

引用本文复制引用

孙永刚,李建生,荚卫东,许戈良,程义壮,马金良,余继海..SPECT判断切肝量及其与肝癌术后肝功能不全的关系[J].实用肝脏病杂志,2011,14(2):135-137,3.

实用肝脏病杂志

OACSTPCD

1672-5069

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