pdd-icg试验在评价肝外科病人肝储备功能中的应用

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1、山东大学硕士学位论文TheClinicalApplicationofIndocyanineGreenTestinHepaticBackgroundSurgeryPostgraduate：QinXudongSupervisor：ProfiWeiJunminAbstractPartialliverresectiononeofisthemainlymeansofthetreatmentofvariousliverdiseases，andthepostoperativeresidualliverdysfunctionisanimportantfactoraffectingthecli

2、nicaloutcome．Thepreoperativeaccurateassessmentofliverreservefunctionisabletoreducethepostoperativeliverdysfunctionrate，animproveprognosis．Theclinicalevaluationofliverreservefunctionisvarious，suchastheserumbiochemicalexaminationofliver；clinicalscoringsystemofliverfunction；quantitativetest；im

3、agingevaluationetc．OtherstudieshaveshownthattheICGplasmaclearancetestisagoodindexinevaluationofliverreservefunction．objectiveByretrospectivestudy，wewanttoevaluatedtheliverreservefunctionthrouhindocyaninegreentestforliverresectionpatientsandpredictthevalueinpatientswithimpairedliverfunctiona

4、fterpartialhepatectomy．MethodReviewofgeneralsurgerydepartmentofBeijingHospitalin82casesofpatientswithliverdisease，whounderwentChild-PughgradeandMELDscoreaccordingtothelaboratoryindexesandPDD—ICGtest，inordertoresearchthecorrelationbetweenPDD-ICGindexandChild-PughclassificationandMELDscoring．

5、ReviewofgeneralsurgerydepartmentofBeijingHospitalin42casesofpatientswithliverdiseaseperformedpartialhepatectomyopermion．Thepatientshadallunderwentroutinephysicalexamination，liverfunction，bloodcoagulationfunctionexamination，andimagingexaminationandPDD-ICGtestduringpreoperativeand4山东大学硕士学位论文p

6、ostoperative，andChild·PughgradeandMELDscorewereratedbeforeandafteroperation．AccordingtopatientsinthethirddayspostoperativewithChild-Pughgrade，MELDscore，toinvestigatetheclinicalvalueofPDD—ICGtestinpredictingthepostoperativeliverfunctiondamage．ResultThepatientsage，gender,bodysurfacearea，pastm

7、edicalhistorywereofnosignificantdifferenceinChild—PughgradeAandgradeBgroup，whilethedifferenceofPDD-ICGtestresultsofK，R15，R15mandeffectivehepaticbloodflowindexhassignificance(P<0．05)．CorrelationanalysisshowedthattheChildscoreandtheKvalueofthecorrelationco