介入性部分脾栓塞治疗脾功能亢进的临床疗效  

Clinical application of partial splenic embolization for Hypersplenism in cirrhosis

作　　者：王广举[1] 张国安[1] 刘斌[1] 

机构地区：[1]抚顺矿务局总医院影像科,辽宁113008

出　　处：《当代医学》2011年第30期65-67,共3页Contemporary Medicine

摘　　要：目的探讨部分性脾栓塞术(partial splenic embolization,PSE)治疗脾功能亢进的临床应用。方法对39例肝硬化脾功能亢患者进行PSE治疗,栓塞程度60%～70%,观察治疗前后测定外周血细胞计数及临床症状变化。结果术后WBC、PLT计数均较术前显著升高并一直持续到术后6个月,RBC无明显变化。患者临床症状明显改善,无严重并发症。结论 PSE治疗肝硬化脾功能亢进是一种安全有效的微创治疗方法。Objective To investigate the Clinical application of partial splenic embolization for hypersplenism in cirrhosis. Methods Thirtynine cases with hypersplenism were treated by PSE, and were observed the post-operative reactions. The peripheral blood cells counts and symptomatic improvement were compared before and after PSE. Embolization area was controlled as about 40%- 70%.Results WBC and PLT cotmts kept significantly higher than preembolization values from 2 weeks to 6 month. RBC counts did not show significant changes after PSE. Clinical symptoms in cases were improved significantly, and no serious complications occurred. Conclusion PSE is a safe, effective and less invasive way to treat hvoersplenism in cirrhosis.

关 键 词：肝硬化 脾功能亢进 脾动脉 栓塞 

分 类 号：R575.2[医药卫生—消化系统]