脾动脉栓塞治疗外伤性脾破裂  

Splenic Arterial Embolization in Treatment of Splenic Injury

作　　者：樊庆勇[1] 

机构地区：[1]菏泽医学专科学校附属菏泽市立医院,山东菏泽274031

出　　处：《菏泽医学专科学校学报》2002年第3期13-14,共2页Journal of Heze Medical College

摘　　要：目的　总结脾动脉栓塞术治疗外伤性脾破裂的临床经验。方法　采用Seldinger法股动脉穿刺入路行脾动脉栓塞。结果　所有病人出血立即停止 ,其中 4例行 2次栓塞。 2 8例均有脾区疼痛 ,发热 2 2例。脾动脉栓塞 5天后血小板、白细胞上升近 1倍 ,7天后恢复至正常范围。 2 8例随访 6～ 36个月 ,查免疫球蛋白、CT等结果满意 ,未有再出血及OPSI发生。结论　脾动脉栓塞具有良好的止血作用 ,使患者避免手术切脾 ,并能保留脾脏的免疫功能 。Objective To summarize the experience in the treatment of splenic rupturewith splenic arterial embolization (SAE) Methods 28 cases of splenic injury underwent normal seldinger method for SAE. Results All cases were cured.Four of them were embolized two times. The major complications included fever (22 cases), left upper abdominal pain (28 cases). Blood plateles and WBC increased nearly once as much five days after SAE.On the seventh day they became normal. 28 patients were followed up for 6 months to 3 years with detection of inmunglobin, CT. The results were satisfactory without overwhelming postsplenectomy infection (OPSI) and bleeding again.Conclusion SAE may be exempt from plenectomy and retain splenic inmunity as well.It is a relatively safe procedure and a highly effective means in the theatment of splenic rupture.

关 键 词：脾破裂/治疗 脾动脉栓塞/治疗应用 介入治疗 

分 类 号：R657.62[医药卫生—外科学]