部分脾动脉栓塞治疗脾外伤36例分析  

Treatment of splenic injury with partial splenic artery embolization:analysis of 36 cases

作　　者：吕德超[1] 赵涛[1] 吕维富[2] 解光艾[1] 刘永庆[1] 王高生[1] 夏穗生[3] 

机构地区：[1]安徽省立医院急诊科,合肥230001 [2]安徽省立医院放射介入科,合肥230001 [3]华中科技大学同济医学院附属同济医院外科

出　　处：《中国实用外科杂志》2003年第12期728-730,共3页Chinese Journal of Practical Surgery

摘　　要：目的　　探讨部分脾动脉栓塞 (PSAE)治疗脾外伤的临床意义。方法　分析 2 0 0 1～ 2 0 0 2年间经PSAE治疗闭合性脾破裂共 3 6例。依据AAST分级标准 ,其中II级脾破裂 15例 ,III级 18例 ,IV级 3例。结果　 3 6例均一期治愈。所有病例术后均出现不同程度的左上腹疼痛 ,12例并发左侧胸腔积液。经 3～ 6个月CT复查显示脾动脉栓塞区域血供恢复正常。Objective To explore the clinical signifcance of treating s plenic i njury by partial splenic artery embolization (PSAE). Methods Thirty -six patients with closed spleen injury were treated by PSAE from 2001 to 2002 were analysed. T here were grade II spleen rupture in 15 cases, grade III in 18 cases, grade IV i n 3 cases by American association for surgery of trauma (AAST). Results All the cases were cured but with postoperative pain in left upper abdomen, 12 patients suffered from left pleural effusion. CT demonstrated that the blood supply of sp leic artery embolization region recovered in 3-6 months follow-up. Conclus ion PSAE is especially effective for the treatment of splenic injury.

关 键 词：部分脾动脉栓塞 治疗 脾外伤 脾破裂 

分 类 号：R657.62[医药卫生—外科学]