部分脾栓塞术临床应用进展  

Recent progress in the clinical application of partial splenic embolization

作　　者：周瑶军[1] 刘长江[1] 王要军[1] 

机构地区：[1]济南解放军济南军区总医院,250031

出　　处：《介入放射学杂志》2012年第5期437-440,共4页Journal of Interventional Radiology

摘　　要：部分脾栓塞术(PSE)作为一种非手术方法可规避脾切除术带来的风险。除治疗脾功能亢进、血小板减少症、脾外伤、脾动脉瘤外,还能缓解肝移植术后脾动脉盗血综合征从而改善受肝血供;减少门脉高压所致食管胃静脉曲张破裂出血的风险;改善外周血象以耐受大量化疗药物或干扰素治疗;治疗特发性血小板减少性紫癜等血液系统疾病。现就PSE临床应用进展作一综述。Partial splenic embolization （PSE） is a non-surgical procedure used to treat hypers- plenism in various clinical settings and thus to avoid the disadvantages of splenectomy. PSE can be employed for the treatment of a variety of diseases including hypersplenism, thrombocytopenia, portal hypertension, splenic arterial aneurysms, etc. PSE can effectively relieve the splenic artery steal syndrome which occurred after liver transplantation, and therefore significantly improve the blood perfusion of the recipient liver. Besides, PSE can also be adopted to reduce the bleeding risk in patients with esophageal and gastric variees caused by portal hypertension. PSE is beneficial to the improvement of peripheral hematologic parameters, which helps the patients successfully undergo the high-dose chemotherapy or interferon therapy. In addition, PSE possesses potential curative effect for thrombocytopenia related diseases such as chronic idiopathic thrombocytopenie purpura. This paper aims to make a comprehensive review of the recent progress in the clinical application of partial＇splenic embolization.

关 键 词：部分脾栓塞术 脾功能亢进 血小板减少症 

分 类 号：R657.63[医药卫生—外科学]