脾动脉栓塞治疗胰源性假性脾动脉瘤  

Coil embolization of splenic artery for the treatment of pseudoaneurysm related with pancreatitis

作　　者：周国锋[1] 冯敢生[1] 梁惠明[1] 郑传胜[1] 柳曦[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院放射科,武汉430022

出　　处：《中华放射学杂志》2005年第4期387-389,共3页Chinese Journal of Radiology

摘　　要：目的探讨动脉栓塞术治疗急、慢性胰腺炎合并假性脾动脉瘤的临床可行性,并观察其临床效果。方法8例假性脾动脉瘤病人,6例为急性胰腺炎坏死组织清除术后腹腔和胃肠道出血;2例为慢性胰腺炎,其中1例消化道出血,1例无症状偶然发现瘤体者。运用弹簧钢圈栓塞脾动脉破口的近、远两端。术后CT观察瘤体灌注情况及出血情况。结果8例病人均栓塞成功,7例出血者成功止血,无症状者CT复查瘤体无对比剂灌注;随访3～21个月,6例无再发出血。结论经皮穿刺脾动脉栓塞术是1种简便、安全、有效的治疗假性脾动脉瘤方法。Objective To evaluate the effect of embolotherapy in treating the splenic pseudoaneurysm related with pancreatitis. Methods In 8 cases with 8 pseudoaneurysms, in which six cases had bleeding after operation for acute pancreatitis and others were related with chronic pancreatitis, embolization had been carried out to the parent artery both distal and proximal with coils. CT scanning was performed after the embolization. Results All cases had been embolized successfully, and haemorrhage in 7 cases was stopped immediately, of which CT scan had been done in 5 cases after embolization, it showed that the pseudoaneurysms were not enhanced at all. Follow up was done for 3-21 months, 6 cases did not bleed again. Conclusion Percutaneous embolization of splenic artery is a simple, safe, and effective treatment mean for secondary pseudoaneurysm of pancreatitis.

关 键 词：脾动脉瘤 脾动脉栓塞治疗 假性 胰源性 动脉栓塞术治疗 坏死组织清除术 慢性胰腺炎 脾动脉栓塞术 临床可行性 胃肠道出血 急性胰腺炎 消化道出血 临床效果 弹簧钢圈 瘤体灌注 CT观察 CT复查 无症状者 后腹腔 对比剂 经皮穿 

分 类 号：R576[医药卫生—消化系统]