Prediction of the Factors Influencing the Shengjing Classification of Portal Vein Thrombosis after Splenectomy for Portal Hypertension in Cirrhosis: A Single‐Center Retrospective Case‐Control Study

作者：Zimin Song, Hanxin Feng, Chunbo Yang, Chaoliu Dai · 发表于：BioMed Research International · 年份：2020 · DOI：10.1155/2020/2396710 · 被引用次数：2 · 研究领域：Liver Disease and Transplantation、Ultrasound and Hyperthermia Applications

Objective . To compare the survival time of patients with portal vein thrombosis after splenectomy for portal hypertension in cirrhosis and explore the influencing factors of the Shengjing classification. Methods . Clinical data of 108 patients with portal vein thrombosis after splenectomy in the department of general surgery of our hospital from November 2011 to December 2018 were selected, and a retrospective analysis was performed. Results . Among 108 patients with postoperative PVST formation, 9 had type Ia, 32 type Ib, 39 type IIa, 20 type IIb, 5 type IIIa, 3 type IIIb, and 0 type IV. Survival analysis showed that the difference in survival time distribution among the Shengjing typing groups was statistically significant ( P < 0.05). The higher the classification level, the shorter the survival time and the higher the risk of death. The results of a single‐factor analysis showed that there were statistically significant differences in the PVST Shengjing typing groups between the preoperative group with or without hepatitis, preoperative d‐dimer level, and postoperative day 14 fibrinogen (FIB) level ( P < 0.05). Multivariate logistic regression analysis showed that the OR value of higher PVST Shengjing typing in patients with hepatitis was 4.634 times higher than that in patients without hepatitis (95% CI: 1.593‐13.478, χ 2 = 7.922, P = 0.005 < 0.05). Preoperative d‐dimer volume increased by 1 μ g/L; the OR value of higher grade PVST Shengjing typing was 1.001 ti...