Tameda Y, Yoshizawa N, Takase K, Nakano T, Kosaka Y
First Department of Internal Medicine, Mie University of School of Medicine, Tsu, Japan.
Gastrointest Endosc. 1990 Jan-Feb;36(1):34-8. doi: 10.1016/s0016-5107(90)70919-4.
The prognostic value of peritoneoscopy was examined in 372 patients with liver cirrhosis according to the degree of development and size of regenerating nodules, the development of reddish markings, the development of small lymphatic vesicles, the presence or absence of patchy markings, the size of the right and left hepatic lobes, and the degree of splenomegaly. The cumulative survival rate was compared with these peritoneoscopic parameters. The usefulness of peritoneoscopic and histological findings in the prognosis of liver cirrhosis was evaluated using the proportional hazard model of Cox. Significant differences were observed in the cumulative survival rate with respect to the degree of development of regenerating nodules, the size of the right hepatic lobe, the formation of small lymphatic vesicles, and the degree of splenomegaly. Analysis using Cox's proportional hazard model indicated that peritoneoscopic findings are of greater clinical use than histological findings in determining the prognosis of liver cirrhosis.
根据再生结节的发育程度和大小、红色斑纹的出现、小淋巴管泡的出现、斑片状斑纹的有无、左右肝叶的大小以及脾肿大的程度，对372例肝硬化患者进行了腹腔镜检查的预后价值研究。将累积生存率与这些腹腔镜检查参数进行了比较。使用Cox比例风险模型评估了腹腔镜检查和组织学检查结果在肝硬化预后中的有用性。在再生结节的发育程度、右肝叶大小、小淋巴管泡的形成以及脾肿大程度方面，累积生存率存在显著差异。使用Cox比例风险模型进行的分析表明，在确定肝硬化预后方面，腹腔镜检查结果比组织学检查结果具有更大的临床应用价值。
