门静脉高压病人部分脾栓塞术对门静脉及其分支压力的影响  

The changes of pressure in portal vein and its branches by partial splenic embolization in patients with portal hypertension

作　　者：龚高全[1] 王小林[1] 钱晟[1] 颜志平[1] 程洁敏[1] 王建华[1] 

机构地区：[1]上海医科大学附属中山医院放射科,200032

出　　处：《介入放射学杂志》1999年第4期193-194,共2页Journal of Interventional Radiology

基　　金：国家"九五"攻关资助课题

摘　　要：目的　研究门脉高压，脾功能亢进病人部分脾栓塞（ＰＳＥ） 前后门脉压力改变，以期得到ＰＳＥ对门脉压力改变的影响。方法　采用脾动脉插管及经皮经肝门脉置管在ＰＳＥ前后分别测量门脉主干，脾静脉及肠系膜上静脉压力，通过自身对照ｔ 检验进行统计学研究。结果　ＰＳＥ前门脉主干（ＰＶ）压力为（５１ ．４±１３．７）ｃｍ Ｈ２Ｏ，脾静脉（ＳＶ）为（５５ ．５±２３ ．２）ｃｍ Ｈ２Ｏ，肠系膜上静脉（ＳＭＶ）为（５１．８±１７ ．２）ｃｍ Ｈ２Ｏ，ＰＳＥ后ＰＶ 为（４２．４ ±８．７）ｃｍ Ｈ２Ｏ，ＳＶ 为（４２．３±１１ ．８）ｃｍ Ｈ２Ｏ，ＳＭＶ 为（４３ ．４ ±１３．１）ｃｍＨ２Ｏ，通过自身对照“ｔ”检验，ＰＶ，ＳＶ 为Ｐ＜ ０ ．０５ ，ＳＭＶ 为Ｐ＜ ０ ．００１ 。结论　ＰＳＥ前后门脉主干及其分支压力改变经检验差别有统计学意义。Objective To research the changes of pressure of portal vein and its branches before and after PSE in patients with portal hypertension.Methods Measuring the pressure of portal vein and its branches pre and post PSE by percutaneous transhepatic portal venous catheterization, respectively. A statistical significance was obtained as P <0.05 in “ t ” test. Results The pressure of portal vein was (51.4±13.7) cmH 2O before PSE, and was (42.4±8.7) cmH 2O after PSE, P <0.05. The pressure of splenic vein was (55.5±23.2) cmH 2O before PSE, and was (42.3±11.8) cmH 2O after PSE, P <0.05. In the meantime, the pressure of superior mesenteric vein were (51.8±17.2) and (43.4±13.1) cmH 2O, respectively, P < 0.001. Conclusions PSE is a safe, effective treatment in patients with portal hypertension because the pressure of portal vein and its branches is decreased significantly after PSE immediately.

关 键 词：脾栓塞术 门静脉高压 压力变化 

分 类 号：R657.340.5[医药卫生—外科学]