liver cirrhosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-70 years, both men and women; 2. Clinical diagnosis of liver cirrhosis, Child-Pugh score 5-7 points; 3. ECOG physical status score 0-1 or KPS score> 70 points; 4. Have a safe puncture path for percutaneous liver biopsy; 5. Have safe vascular access via transhepatic artery intubation; 6. No severe coagulopathy or hemorrhagic constitution (such as hemophilia); 7. Patients with hepatitis B or C cirrhosis are receiving standardized antiviral treatment; 8. Ability to understand and sign informed consent.
Exclusion criteria
Exclusion criteria: 1. With liver cancer or other malignant tumors; 2. Patients who cannot cooperate; 3. The prothrombin time (PT) exceeds the upper limit of the normal control by more than 3 to 5 seconds; 4. International standardized ratio (INR) <=1.5; 5. PLT < 60x106^9/L; 6. Recently used (last 7 days) anticoagulant or antiplatelet drugs; 7. Recently (within 4 weeks) upper gastrointestinal bleeding or spontaneous peritonitis; 8. Moderate or massive peritoneal effusion; 9. Severe dysfunction of important organs such as heart and lungs; 10. Pregnant or lactating women; 11. HIV positive; 12. Any uncontrollable active infection; 13. The investigator assesses that the patient is unable or unwilling to comply with the requirements of the study protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Liver function (serum albumin ALB, alanine aminotransferase ALT, aspartate aminotransferase AST, cholinesterase CHE, total bilirubin TBIL, direct bilirubin DB, serum cholesterol CHO, prothrombin activity PTA, antithrombin AT); | — |
Secondary
| Measure | Time frame |
|---|---|
| Liver ultrasound imaging;Liver enhanced MRI / CT;Liver fibrosis hematological indicators (type III procollagen, type IV collagen, laminin and hyaluronidase;Liver biopsy histopathology; | — |
Countries
China
Contacts
Renji Hospital, Shanghai Jiaotong University School of Medicine