瞬时弹力测定预测肝脏手术预后的研究进展

Transient Elastography:Progress in Predicting The Prognosis of Hepatic Surgery

目的了解瞬时弹力测定技术预测肝脏手术患者预后的价值。方法对相关文献进行综述分析。结果瞬时弹力测定技术能够定量评价肝脏硬度,随着肝脏硬度增加,肝脏切除术后并发症发生率及肝癌复发率呈升高趋势。在肝移植患者中,急性排斥反应和丙肝复发常伴随肝脏硬度升高。结论瞬时弹力测定技术有助于评价肝脏储备功能,改善患者预后。

Objective To summarize the progress of transient elastography in predicting the prognosis of hepatic surgery. Methods The related literatures were reviewed. Results Liver stiffness can be measured by using transient elastography. In patients with hepatocarcinoma, the liver stiffness measurements are higher, the more likely they are to have surgical complications and hepatocarcinoma recurrence. Liver transplant recipients with higher liver stiffness measurements tend to have higher acute rejection and hepatitis C recurrence rates. Conclusion Transient elastography can evaluate hepatic functional reserve to help improve the outcome of hepatic surgery.