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| The research of MELD and CTP score for assessing the liver reserve function in patients with cirrhosis |
| FAN Qiu-ju1, TAN Hui1, YU Yong1, CHEN Da-zhi2, HE Tai-ping1 |
| 1. Department of Radiology, Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang Shaanxi 712000, China;
2. Department of Radiology, Ningxia People’s Hospital, Yinchuan 750000, China |
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Abstract Objective: To determine the assessment performance of model for end-stage liver disease(MELD) and Child-Tureotte-Pugh(CTP) score in comparison with liver volume in liver reserve function of hepatitis B-related cirrhosis. Methods: Fifty-two patients who were diagnosed with liver cirrhosis based on the clinical findings, including liver pathology, radiological, and the results of laboratory examinations were included in this study. The total liver volume was measured according to abdominal contrast enhancement by 256-slice iCT, and then, the standardization of the total liver volume(SLV) was obtained. According to the laboratory and clinical data, we calculated the MELD score and Child score respectively, and a scatter plot was got between body surface area and liver volume. The MELD and CTP score correlation was correlated with the SLV. Results: The total liver volume was (989.4±293.7) cm3, and the SLV was (532.3±143.2) cm3/m2. The MELD and CTP score was 14.37±6.19, 8.71±2.80, respectively. Negative linear correlations were observed between SLV and the MELD, CTP score(r=-0.82, r=-0.685, respectively; all P<0.05). The coefficient of determination was 0.47, 0.67 respectively. Conclusion: CTP score and MELD score system could accurately assess liver reserve function in patients with cirrhosis, MELD score has greater precision and accuracy than CTP score.
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Received: 07 February 2017
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