经皮穿脾门静脉插管的临床应用  

Clinical Application of Percutaneous Transsplenic Portal Catheterization

作　　者：颜志平[1] 王建华[1] 王小林[1] 程洁敏[1] 龚高全[1] 钱晟[1] 刘清欣[1] 邵国良[1] 罗剑钧[1] 陈颐[1] 

机构地区：[1]上海医科大学中山医院放射科,200032

出　　处：《中国临床医学杂志》2000年第2期142-143,共2页

基　　金：本研究为国家"九五"攻关课题基金资助项目!(969070301)

摘　　要：目的：研究经皮穿脾门静脉插管的可行性。方法：在电视透视＋选择性脾动脉插管联合导引下采用微创穿刺法对 １７例患者进行经皮穿脾门静脉插管。结果：１５例患者穿刺成功并完成了所预定的操作，２例失败。１５例中１人出现急腹症腹腔穿刺抽得不凝血，经保守治疗后缓解。余１６例均无明显并发症。结论：经皮穿脾门静脉插管是一种安全实用的经皮穿刺门静脉插管法，可作为经皮穿肝门静脉插管的替代方法，尤其适用于肝门静脉闭塞而又需作门静脉插管的患者。Objective: To study the feasibility of percutaneous transsplenic portal catheterization (PTSPC). Methods: PTSPC were performed in 17 cases under the guidance of combination of fluoroscopy and selective splenic arterial catheterization. Results: PTSPC and scheduled interventional procedures were successfully done in 15 cases. Attempt failed in 2 cases. 1 of the 15 cases complained acute abdominal pain and was found hemoperitoneum. The case recovered after conservative treatment. No significant complication was found in others. Conclusion: PTSPC is safe and feasible procedure for percutaneous portal catheterization. It is an alternative of percutaneous transhepatic portal catheterization, especially in cases with portal occlusion.

关 键 词：肝肿瘤 门脉高压症 经皮穿脾门静脉插管 

分 类 号：R735.7[医药卫生—肿瘤] R657.34[医药卫生—临床医学]