部分脾动脉栓塞术治疗肝炎后肝硬化并发脾功能亢进症  

Partial splenic embolization for treating hypersplenism complicated by posthepatitic cirrosis

作　　者：丁秋霞[1] 王常友[1] 

机构地区：[1]淮北市矿工总医院,235000

出　　处：《安徽医学》2001年第2期22-23,共2页Anhui Medical Journal

摘　　要：目的 :探讨部分脾动脉栓塞术 (PSE)治疗肝炎后肝硬化并发脾功能亢进症的临床疗效 ,及手术并发症预防和处理。方法 :对 47例PSE术的临床资料进行回顾性分析 ,根据脾肿大程度决定栓塞范围 ,重度脾肿大行多次小范围栓塞。结果 :术后外周血细胞显著回升 ,脾脏回缩 ,并发症发生率 2 3 4% ( 11/47)主要为自发性腹膜炎等 ,无死亡及后遗症发生。结论 :PSE创伤小 ,效果好 ,是治疗肝炎后肝硬化并发脾亢的首选疗法。Objective To explore the clinical effect of partial seplenic embolization(PSE) for treating hypersplenism complicated by posthepatitic cirrhosis and the methods of prevention for its Methods The clinical date of PSE were reviewed and studied in 47 patients The area of emoboliration was defined on the size of spleen omegaly and small areas of embolization were performed repeatedly for sewere splenomegaly Results The blood cells were rised operations and the spleen has reduced The incidence of complitation was 23 4%(11/47),mainly with primary peritonitis without fatality and sequalae Conclusion PSE is a harmless operation and has a good results.It is the first therapy for treating hypersplenism complicated by posthepatitic cirrosis

关 键 词：部分脾动脉栓塞术 脾功能亢进 并发症 肝炎 肝硬化 

分 类 号：R657.6[医药卫生—外科学]