部分性脾栓塞治疗脾功能亢进  

Partial splenic embolization in the treatment of hypersplenism

作　　者：胡汉金[1] 戴家应[1] 石奇[1] 王俊[1] 夏长久[1] 宋志俊[1] 张宜松[1] 杨惠霞[1] 

机构地区：[1]安庆市立医院放射科,安徽246003

出　　处：《安徽卫生职业技术学院学报》2004年第5期17-19,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:研究部分性脾栓塞治疗脾功能亢进的临床价值。方法:对47例脾功能亢进患者行周围性部分性脾栓塞,栓塞剂为医用明胶海绵,栓塞前后测定血细胞数量,并做方差分析和t检验。结果:7例儿童栓塞范围为65%～75%,2例青年Child分级A级患者栓塞了75%,6例肝癌伴脾亢者为40%左右,其余均在50%～60%之间。术后24h、72h、1周、2周、4周、3月、6月复查血白细胞和血小板均较栓塞前明显升高(P<0.05),未出现严重并发症。结论:部分性脾栓塞治疗脾功能亢进安全、显效、并发症少。术中多次造影分次追加能防止过度栓塞和栓塞不足。Objective To evaluate the clinical valuation of partial splenic embolization in the treatment of hypersplenism.Methods All the fourty-seven cases with hypersplenism was given peripheral partly splenic embolism,the embolus was Gelfoam,pre-and post-splenic embolism,we investigate the blood rutine,especially the count of WBC and PLT,and give analysis of variance and t test. Results The area of splenic embolism in 7 children was 65%～75%,in 2 young patients with liver function Child A was 75%,in 6 primary livertumor with hypersplenism was about 40%,and the other's area of splenic embolism was 50%～60%. Post-operative 24hr,72hr,1 week,2 weeks,4 weeks,3 months,6 months,the counts of WBC and Plt elevated obvious compared preoperative(P<0.05),and have no complications. Conclusion Partial splenic embolization in the treatment of hypersplenismis safety,effective,almost no complication,intraoperative,multiple splenic artery angiography could control the area of splenic embolism,preventing the inappropriate embolism.

关 键 词：脾功能亢进 栓塞 介入 

分 类 号：R657.6[医药卫生—外科学]