Evaluation and threshold value of hepatic vein pressure gradient for early postoperative rebleeding after endoscopic esophageal varices ligation
10.3969/j.issn.1007-1989.2016.07.010
- VernacularTitle:肝静脉压力梯度测定对食管静脉曲张套扎术后早期再出血的预测价值
- Author:
Hongmei JIANG
;
Jianguang LIU
- Keywords:
hepatic venous pressure gradient;
endoscopic esophageal varices ligation;
early rebleeding;
threshold value
- From:
China Journal of Endoscopy
2016;22(7):39-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the value of hepatic venous pressure gradient in the evaluation of early postoper﹣ative hemorrhage after endoscopic esophageal varices ligation (EVL). Methods 120 cases of rebleeding after EVL from January 2014 to January 2015 as subjects. Collect and study clinical indexes such as the venous pressure gra﹣dient, then used logistic regression analysis method to analyze the threshold assessment. Results Drinking, hemor﹣rhage in early stage, bilirubin, heart rate, blood transfusion, child Pugh score and MELD score were significant dif﹣ferences (P< 0.05); HVPG=16.98 mmHg, for the prediction of rebleeding threshold, and in the time of the highest predictive accuracy. Conclusion The hepatic venous pressure gradient has an accurate evaluation value for early postoperative hemorrhage after endoscopic esophageal varices ligation.
