超选择脾动脉栓塞在外伤性脾破裂治疗中的应用  

Application of superselective splenic arterial embolization in treatment of traumatic splenic rupture

作　　者：刘冬良[1] 顾汝军[1] 孙刚[1] 庄彬武 张召辉[2] 

机构地区：[1]中国人民解放军第82医院149临床部普外科,江苏连云港222042 [2]徐州医学院附属医院淮海医院普外科,江苏222000

出　　处：《齐齐哈尔医学院学报》2015年第17期2577-2578,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨超选择性脾动脉栓塞在治疗外伤性脾破裂中的效果。方法采用Seldinger技术穿刺右侧股动脉,经脾动脉造影,显示出血部位,将微导管超选至相应的脾动脉(叶、段)血管,注入明胶海绵小颗粒栓塞止血。结果 19例患者均一次栓塞止血成功,其中1例合并右肝挫裂伤出血,给予栓塞止血满意,所有患者均出现左上腹轻度胀痛,12例患者腹腔积血穿刺引流,16例出现低热,9例出现左侧胸腔积液,所有患者均出现血小板不同程度升高,均给予对症处理,保脾成功,痊愈出院。结论超选择性脾动脉栓塞是治疗外伤性脾破裂的一种有效、简便、微创的方法。Objective To evaluate the efficacy of superselective splenic arterial embolization in the treatment of traumatic splenic rupture. Methods With Seldinger technique,a catheter was introduced into the splenic artery via the right femoral artery for angiography. Once the bleeding sites were identified,microcatherers were placed into the hemorrhagic vessels to control the bleeding with gelatin sponges. Results Superselective splenic arterial embolization was successful in all of the 19 cases. It was also satisfied with splenic rupture and right liver rupture in 1 case. Distending pain in the left upper abdomen and raise the platelet was observed in all patients. Abdominal liquid was drained in 12 cases. Left pleural effusion was observed in 9 cases,fever in 16 cases,all patients were recovered. Conclusions Superselective splenic arterial embolization is an effective,simple and minimally invasive therapy for patients with traumatic splenic rupture.

关 键 词：脾破裂 超选择脾动脉 脾动脉栓塞 

分 类 号：R735.7[医药卫生—肿瘤]