To evaluate hepatic functional reserve and operational risks of primary hepatic carcinoma in Child A using functional CT
10.3969/j.issn.1002-1671.2014.10.017
- VernacularTitle:Child A级原发性肝癌围手术期风险的功能CT预评估
- Author:
Yunchuan XIE
;
Zhengming LEI
;
Guangcai TANG
;
Yongshu LAN
;
Guidong DAI
;
Jianfei HU
- Publication Type:Journal Article
- Keywords:
hepatic carcinoma;
hepatic functional reserve;
operational risks;
computed tomography
- From:
Journal of Practical Radiology
2014;(10):1670-1673
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate hepatic functional reserve and operational risks of primary hepatic carcinoma in Child A using functional CT.Methods In 128 cases of primary hepatic carcinoma of Child A undergoing hepatoectomy and identified by pathology, CT perfusion scanning and measurement of remannent hepatic volume were done before operation and whole patients were divided in-to acute hepatic failure group(AHF group,33 cases)and non-acute hepatic failure(non-AHF group,95 cases).All variables were ana-lyzed by one way analysis of variance(one-way ANOVA)firstly.The variables with significance (P<0.05)were analyzed with Step-wise Logistic regression further.Results One-way ANOVA result:There were significant difference between two groups in RHVS measured by CT,PVP,HBF,HBV,serum creatinine,thrombinogen activity,total bilirubin and intraoperative blood loss (P<0.05).The StepwiseLogistic regression analysis demonstrated that decreased RHVS and the lowed PVP were the independent risk factors of AHF complicated to hepatoectomy of primary hepatic carcinoma(P<0.01).Conclusion Hepatic functional reserve and operational risks of primary hepatic carcinoma could be j udged with functional CT before operation .
