Zhang M Y, Wang G C, Huang G J, Feng H, Wang L F, Zhang J Y, Shi Y J, Zhang C Q
Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250000, China.
Zhonghua Gan Zang Bing Za Zhi. 2018 Apr 20;26(4):266-270. doi: 10.3760/cma.j.issn.1007-3418.2018.04.007.
To summarize and analyze the clinical data of hepatic venous pressure gradient (HVPG) and to explore the application value of HVPG in the diagnosis, evaluation and clinical treatment of portal hypertension in cirrhosis. The patient data of HVPG measurement performed in Shandong Provincial Hospital from April 2010 to November 2017 were collected. A total of 633 patients with 833 times of HVPG measurements were included. There was significant difference in HVPG between patients with different etiologies, different Child-pugh grades and different degrees of decompensated cirrhosis. The HVPG test is suitable for the diagnosis and evaluation of portal hypertension. The HVPG of patients with different severity of liver cirrhosis can guide the choice of the treatment plan, and the HVPG measurement should also be strictly standardized and quality control.
总结分析肝静脉压力梯度(HVPG)的临床资料,探讨HVPG在肝硬化门静脉高压症诊断、评估及临床治疗中的应用价值。收集2010年4月至2017年11月在山东省立医院进行HVPG测量的患者资料。共纳入633例患者,进行了833次HVPG测量。不同病因、不同Child-pugh分级及不同失代偿期肝硬化程度患者的HVPG存在显著差异。HVPG检测适用于门静脉高压症的诊断和评估。不同严重程度肝硬化患者的HVPG可指导治疗方案的选择,同时HVPG测量也应严格规范并进行质量控制。