部分脾栓塞治疗肝硬化门脉高压并脾功能亢进  

Partial Splenic Embolization in the Treatment of Hypersplenia and high Portal Pressure of Cirrhosis

作　　者：王利明[1] 杨士彬[1] 施光亚[2] 

机构地区：[1]安徽省蚌埠市第一人民医院消化内科,233000 [2]安徽省蚌埠市第三人民医院,233000

出　　处：《解剖与临床》2003年第2期96-97,共2页Anatomy and Clinics

摘　　要：目的 :探讨部分脾栓塞术的临床疗效。方法 :采用Seldinger技术经股动脉穿刺置入导管至脾动脉 ,注入明胶海绵颗粒 ,栓塞脾动脉的部分小分支血管 ,治疗肝硬化门静脉高压并脾功能亢进患者 9例。结果 :栓塞范围为30 %～ 70 %,术后患者外周血象明显改善 ,上消化道再出血间期延长。无严重的并发症发生。结论 :部分脾栓塞治疗肝硬化门脉高压并脾功能亢进是安全和有效的。Objective:To study the clinical effect of partial splenic embolization(PSE).Methods:In 9 cases of clinically proved hypersplenia and high portal pressure of cirrhotic patients,catheterization of the femoal artery was carried out with Seldinger's method.The tip of catheter was pushed to the spleen artery and the grain of gelfoam was injected into partial spleen artery.Results:The degree of embolization ranged from 30% to 70% ameliorated peripheral blood WBC and PLT count and prolonged the intermission of upper gastrointestinal bleeding of the patients.No severe complication occurred in all cases.Conclusion:PSE is a safe and effective therapy for hypersplenia and high portal pressure of cirrhosis.

关 键 词：脾栓塞 治疗 肝硬化 门脉高压 脾功能亢进 食管静脉曲张 

分 类 号：R575.2[医药卫生—消化系统] R657.6[医药卫生—内科学]