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《ACTA ACADIMAE MEDICINAE QINGDAO》 2000-03
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EFFECT OF HEPATIC ARTERIAL CHEMOEMBOLIZATION ON HEPATIC HEMODYNAMICS AND FUNCTIONAL RESERVE

ZHANG Jianli, YANG Jinyong Department of General Surgery, The Affiliated Hospital of Qingdao University Medical College, Qingdao 266003; [  
Objective\ To study the effects of hepatic arterial chemoembolization on hepatic hemodynamics and functional reserve (HFR) in patients with liver carcinoma.\ Methods\ Color doppler flow imaging (CDFI) and CT were used to make a comparision of hemodynamics and functional reserve changes before and after chemoembolization in 17 patients.\ Results\ The average PVF and SVF gradually reached their peaks at 1 week after embolization( F=14.86-332.55,q=6.48-36.43,P 0.01), then they gradually dropped to normal level, but the diameter of portal vein and splenic vein were not changed significantly. The congestion index (CI) of portal vein was not changed significantly ( t=1.45,P 0.05) before and after embolization. The parenchymal hepatic embolization ratio (PHER) was between 10.63%-43.83% (average 26.13%). If the PHER was below 40%, the HFR could be compensated for the need of liver function.\ Conclusion\ The quantitative analysis of portal venous hemodynamics can provide important index for the prognosis of HACE. The CI could help us analyze the change of portal vein pressure. According to PHER, we can calculate influence of HACE on HFR. [
【CateGory Index】: R735.7
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