摘要
Abstract
Objective To retrospectively analyze the short-term survival status of decompensated hepatocirrhosis by the Model for End-Stage Liver Disease ( MELD ) and Child-Turcotte-Pugh ( CTP ) score and to predict 3-month and one-year mortality rates in decompensated hepatocirrhosis.Methods MELD,MELD-Na,and CTP score decompensated hepatocirrhosis were used to classify and graded decompensated hepatocirrhosis in 119 patients.The 3-month and one-year morality rates were compared among patients with different MELD scores ( ≤9,10-19,20-29,and ≥30 ) or different CTP classification ( A,B,and C ).The clinical features were analyzed in the patienes during a 3-month and a one-year follow-up.Results The 3-month mortality rate was 2.17 ％ for MELD ≤9,10.71％ for 10-19,64.29 ％ for 20-29,and 100 ％ for ≥30; and the one-year mortality was 26.09％,32.14％,57.14 ％,and 100 ％,respectively.The short-term mortality was associated with MELD scores.If R ＞ 18 was used as a standard,the 3-month and one-year mortality rates were significantly higher in the group with R ＞ 18 than in the group with R=18 ( P＜ 0.01 for both comparisons ).The 3-month mortality rate was 6.78 ％ for CTP A,15.38 ％ for B,and 42.86 ％ for C ( P＜ 0.01 ):and the one-year mortality was 11.86 ％,38.46 ％,and 90.48 ％,respectively ( P＜ 0.05 ).MELD-Na was related to the short-term mortality ( 3 months and 1 year ) in decompenated hepatocirrosis ( P ＜ 0.01 ).Conclusions Both MELD and CTP scores can accurately predict the short-term prognosis in patients with decompensated hepatocirrhosis.关键词
肝硬化/终末期肝病模型(MELD)/Child-Turcotte-Pugh(CTP)分级Key words
Hepatocirrhosis/Model for End-Stage Liver Disease/Child-Turcotte-Pugh score
