Simert G, Persson T, Vang J
Ann Surg. 1978 Feb;187(2):174-8. doi: 10.1097/00000658-197802000-00014.
The predictive value of 15 pre- and peroperative parameters upon survival after portacaval shunt was analyzed in a retrospective investigation of 134 elective operations. A multiple linear regression model was used. Survival was measured at three different points of time: one month, one year and five years after the operation. Survival at one month was influenced by the parameters bilirubin/s and ascites only. Survival at one year was influenced by albumin/s, sex, bilirubin/s, BSP, heart disease history and ascites Survival at five years was influenced by albumin/s, alkaline phosphatase/s, history of alcohol abuse, and globulin/s. These findings indicate that prediction of survival after portacaval shunt is an intricate process and that considerable improvement of the child criteria is possible.
在一项对134例择期手术的回顾性研究中,分析了15个术前和术中参数对门腔分流术后生存的预测价值。使用了多元线性回归模型。在术后三个不同时间点测量生存率:术后1个月、1年和5年。术后1个月的生存率仅受胆红素和腹水参数影响。术后1年的生存率受白蛋白、性别、胆红素、磺溴酞钠、心脏病史和腹水影响。术后5年的生存率受白蛋白、碱性磷酸酶、酗酒史和球蛋白影响。这些发现表明,门腔分流术后生存的预测是一个复杂的过程,并且儿童标准有相当大的改进空间。