Author:
Baochi Liu,Xiong Gao,Yuanhuai Chen,Qiqiang Dong,Jingbo Wang,Baisong Zhao
Abstract
Objective: To study the therapeutic effect of B-ultrasound-guided intrahepatic infusion of autologous bone marrow nucleated cells on decompensated cirrhosis. Methods: To observe the clinical treatment of 75 cases of decompensated cirrhosis. Among them, 30 cases received routine liver protection and diuretic treatment. 45 cases were treated by percutaneous transhepatic infusion of autologous bone marrow nucleated cells under the guidance of B ultrasound. There were no significant differences in liver function and blood routine indexes between the two groups before treatment (p > 0.05). Results: The indexes of liver function and blood routine at different time periods of 1 month, 3 months, 6 months, and 12 months in the conventional treatment group did not change significantly. 6 cases died of liver failure within 1 year, the fatality rate was 20%. The indexes of liver function and blood routine of percutaneous liver transhepatic infusion of autologous bone marrow nucleated cells at 1 month, 3 months, 6 months, and 12 months under the guidance of B-ultrasound were significantly better than those of the conventional treatment group (p < 0.05). One case died of gastrointestinal bleeding in the group of percutaneous transhepatic infusion of autologous bone marrow nucleated cells guided by B ultrasound, with a fatality rate of 2.5%. Compared with the conventional treatment group, there were significant differences (p < 0.05). Conclusion: Conventional drug therapy has no obvious effect on decompensated cirrhosis. Intrahepatic infusion of bone marrow nucleated cells can significantly promote liver function reconstruction in decompensated cirrhosis.
Publisher
Heighten Science Publications Corporation
Reference20 articles.
1. 1. Pantham G, Mullen KD. Practical Issues in the Management of Overt Hepatic Encephalopathy. Gastroenterol Hepatol (N Y). 2017;13(11):659-665. Available from: https://www.gastroenterologyandhepatology.net/archives/november-2017/practical-issues-in-the-management-of-overt-hepatic-encephalopathy/
2. 2. Bannas P, Roldán-Alzate A, Johnson KM, Woods MA, Ozkan O, Motosugi U, et al. Longitudinal Monitoring of Hepatic Blood Flow before and after TIPS by Using 4D-Flow MR Imaging. Radiology. 2016;281(2):574-582. Available from: https://pubmed.ncbi.nlm.nih.gov/27171019/
3. 3. Cavași A, Mercea V, Anton O, Puia IC. Therapeutic Challenges for Symptomatic Portal Cavernoma Cholangiopathy. J Gastrointestin Liver Dis. 2016;25(3):395-399. Available from: https://www.jgld.ro/jgld/index.php/jgld/article/view/1079
4. 4. Owen JM, Gaba RC. Transjugular Intrahepatic Portosystemic Shunt Dysfunction: Concordance of Clinical Findings, Doppler Ultrasound Examination, and Shunt Venography. J Clin Imaging Sci. 2016;6:29. Available from: https://europepmc.org/article/PMC/4977976
5. 5. Pan HC, Chen YJ, Lin JP, Tsai MJ, Jenq CC, Lee WC, et al. Proteinuria can predict prognosis after liver transplantation. BMC Surg. 2016;16(1):63. Available from: https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-016-0176-8