肝炎后肝硬化合并脾动脉瘤的临床特点与诊治  

The Clinical Feature,Diagnostic Method and Treatment of Splenic Artery Aneurysms in Hepatic Cirrhosis

作　　者：崔玉军[1] 

机构地区：[1]天津市第一中心医院移植学部,300192

出　　处：《继续医学教育》2010年第6期76-78,共3页Continuing Medical Education

摘　　要：目的:总结肝炎后肝硬化合并脾动脉瘤的临床特点和诊治经验,探讨此症的诊断与治疗策略。材料和方法:2001年12月～2003年12月,我中心手术的424例肝炎后肝硬化患者的临床资料、CTA检查及随访资料,并进行统计学分析。结果:20例确诊合并脾动脉瘤,19例通过CTA确诊。14例术中未处理脾动脉瘤,2例于术后发生脾动脉瘤破裂出血,其中1例死亡。术中切除脾动脉瘤及脾脏的5例生活质量良好。结论:肝炎后肝硬化患者脾动脉瘤发病率升高,CTA扫描能够准确诊断脾动脉瘤。合并脾动脉瘤的肝炎后肝硬化患者,手术中应同期行脾动脉瘤切除术。In order to explore diagnostic method and therapeutic principle of Splenic Artery Aneurysms in Posthepatitic Cirrhosis,we summarize the clinical feature of SAA and review our experience in diagnosis and treatment.Materials and Methods: The clinical datum of 424 patient,who is suffered from Posthepatitic Cirrhosis,and underwent operation in our central between Dec 2001 to Dec 2003,Four-phase CT scanning,and follow-up visit.The datum is analyzed by statistics method,Result: Twenty patients were diagnosed SAA,19 of them were diagnosed by CTA.Two of them suffered SAA ruptured,and died of it.The five patients,who were performed SAA resection and splenectomy during operation,survive in good quality.Conclusion: The incidence of SAA increases notably among posthepatitic cirrhosis.CTA can diagnose SAA exactly.These patient should be performed SAA resection during operation.

关 键 词：脾动脉瘤 病毒性肝炎后肝硬化 手术 

分 类 号：R[医药卫生]