Risk factors of portal vein thrombosis after splenectomy in cirrhotic patients: a Meta-analysis / 中华肝胆外科杂志
Chinese Journal of Hepatobiliary Surgery
;
(12): 855-861, 2014.
Artigo
em Chinês
| WPRIM
| ID: wpr-466297
ABSTRACT
Objective To study the perioperative predictors of portal vein thrombosis (PVT) after splenectomy in cirrhotic patients.Methods We searched the Web of Science,PubMed,EMBASE,Science Direct,CNKI,VIP,CSCD,and Wan Fang Databases up to April 2014.Only case-controlled studies which evaluated predictive factors of portal vein thrombosis (PVT) after splenectomy in cirrhotic patients were included.The Stata 12 software was used to perform the meta-analysis.Results Twenty-four casecontrolled studies were included.The sample size was 4 335,and the incidence rate of PVT was 25.0%.The risk factors of PVT included splenic volume (WMD =13.75,95% CI6.47 ~21.00),splenic vein diameter (WMD =1.34,95% CI0.39 ~ 2.30),portal vein diameter (WMD =1.54,95 % CI0.56 ~ 2.52 ;WMD=2.09,95%CI0.55 ~3.64),portal venous flow (WMD =-5.78,95% CI-10.46 ~-1.10;WMD =-5.57,95 % CI-5.92 ~-5.22),difference in portal venous pressure (WMD =1.90,95 % CI1.29~2.50) and ascites (OR =1.83,95% CI1.19,2.82).There were no significant differences between patients with and without PVT in terms of sex,age,Child-Pugh classification,prothrombin time,PLT,D-dimer,operating time.Conclusion The risk factors of portal vein thrombosis after splenectomy in cirrhotic patients were splenic volume,splenic vein diameter,portal vein diameter,portal venous flow,difference in portal venous pressure and ascites.
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DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
/
Revisões Sistemáticas Avaliadas
Idioma:
Chinês
Revista:
Chinese Journal of Hepatobiliary Surgery
Ano de publicação:
2014
Tipo de documento:
Artigo
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