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出 处:《实用放射学杂志》2005年第8期861-864,共4页Journal of Practical Radiology
摘 要:目的探寻脾亢患者部分性脾栓塞(PSE)术较为合适的栓塞方法。方法78例脾亢患者中32例为脾动脉主干内PSE术(主干组),46例为脾动脉分干内PSE术(分干组)。所有患者术后观察并发症情况,第15d、30d、60d、90d分别复查白细胞和血小板计数,并与术前比较,以此评价PSE术的疗效。然后对主干组和分干组结果进行对比分析。结果78例患者术后均无严重并发症,脾外栓塞及呼吸系统并发症分干组较主干组轻而少。术后白细胞和血小板计数,第15天时主干组和分干组比较差异均无显著性意义(P>0.05);第30天时二者比较差异均有显著性意义(P<0.05);第60天、90天时二者比较差异则均有非常显著性意义(P<0.001)。结论对于脾亢患者,脾动脉分支若呈二干型或三干型,则应尽量行分干内PSE术;分支若呈无干型或主干明显扭曲而插管困难时,则宜行主干内PSE术。Objective To explore the preferable embolization ways of partial splenic embolization ( PSE) operation in the patients with hypersplenism. Methods In 78 eases with hypersplenism,32 eases were undergone PSE operation in the splenic artcriosus truneus( trunks groups) and 46 eases were undergone PSE operation in the splenic arteriosus branches (branches groups). The postoperative complications were observed,white blood cell and platelet count in 15 days,30 days,60 days and 90 days were examined respectively,which were compared to that of preoperation. this would be serve as a curative assessment. The results in trunks groups and branches groups were compared. Results There were no severe postoperative complication in 78 eases. The external splenic embolization and emplieations of respiratory system in branches groups were less than that in trunks groups. After operation,white blood cell and platelet count were no significant difference in 15 days ( P 〉 0. 05 ) significant difference in 30 days ( P 〈 0. 05 ) and extraordinary significant in 60 days and 90 days ( P 〉 0. 001 ) between trunks groups and branches groups. Conclusion For the pationts with hypersplenism arteries were two or three branches,the PSE operation in the splenic arteriosus branches should be done ,if splenic arteries were no truneus or truneus obvious crooked causing to introduce the catheter diffieuty,the PSE operation in the splenic arteriosus truneus should be done.
分 类 号:R551.1[医药卫生—血液循环系统疾病] R815[医药卫生—内科学]
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