部分性脾动脉栓塞术治疗继发性脾功亢进25例临床观察  

Treatment of Secondary Hypersplenism with Partial Splenic Artery Embolization in 25 cases

作　　者：陈祖聪 刀保细 李雯 黄进邦 

机构地区：[1]德宏州医疗集团人民医院内二科,云南德宏678400

出　　处：《昆明医学院学报》2010年第1期92-93,97,共3页Journal of Kunming Medical College

摘　　要：目的探讨部分性脾动脉栓塞术(PSE)治疗继发性脾功能亢进的临床应用价值.方法25例继发性脾功能亢进者,采用seldinger技术经股动脉选择性插管至脾动脉主干,注入明胶海绵颗粒及抗菌素,脾动脉远端小血管栓塞,观察PSE前后的外周血细胞变化.结果栓塞后外周血细胞较栓塞前不同程度升高.结论PSE治疗脾功能亢进安全有效,选择合适的病例及严格操作是减少不良反应有效手段.Objective To explore the clinical application value of partial splenic artery embolization（PSE） in the treatment of secondory hypersplenism. Methods We selected 25 cases of secondory hypersplenism, and used selaimger techniques to catheterize to the splenic artery through the femoral artery of every patient, then in- fused sponge particles and antibiotics to embolize distal splenic artery. Changes in peripheral blood cells of pa- tients were observed before and after partial splenic artery embolization. Result Peripheral blood cells of pa- tients increased after partial splenic artery embolization. Conclusions PSE is safe and effective for the treatment of hypersplenism. It is an effective wav to select suitable cases and operate carefully to avoid adverse effects

关 键 词：部分性脾动脉栓塞术 脾功能亢进 治疗 

分 类 号：R657.63[医药卫生—外科学]