部分性脾栓塞治疗肝硬化脾功能亢进的临床分析  

Clinical analysis of liver cirrhosis hypersplenia with the partial spleen embolization.

作　　者：郭延军[1] 李宏伟[1] 吴玉晶 刘海燕[1] 崔秀明[1] 刘克莉[1] 

机构地区：[1]大庆油田总医院,黑龙江大庆163001 [2]大庆人民医院影像室,黑龙江大庆163001

出　　处：《临床肝胆病杂志》2003年第2期82-83,共2页Journal of Clinical Hepatology

摘　　要：对进行部分性脾栓塞术的30例肝硬化脾功能亢进患者进行临床分析。采用seldinger技术经股动脉插入5F cobra导管至脾动脉主干进脾门部,进行部分栓塞术。30例中有28例脾功能亢进缓解并降低门静脉高压。结论:部分性脾栓塞术效果肯定。由于部分性脾栓塞能够保留患者脾脏的完整性,以完成其生理免疫功能,同时有效地改善了外周血象,并发症明显降低,因此,已成为脾功能亢进的替代疗法,是目前的非手术治疗手段。A clinical analysis of 30 cases of liver cirrhosis hypersplenia with the partial speen embolization. The 5F cobra duct was inserted by the technology of seldinger through the femoral artery into the splenic artery stem and sequentially into the hilum of spleen and performed the partial embolization. 28 of 30 oases of hypersplenia had received remission and depressed the portal hy-pertersion. Our findings indicate that partial spleen embolization is an efficient therapy because it can reserve the integrity of partial spleen so as to perform the physiological and immunological functions. Meanwhile, this treatment will ameliorate the peripheral hemogram and reduce the complications.

关 键 词：脾栓塞 肝硬化 脾功能亢进 

分 类 号：R575.2[医药卫生—消化系统]