部分脾动脉栓塞术在肝硬化脾功能亢进方面的临床应用  

Clinical Application of Partial Splenic Artery Embolization in Hypersplenism due to Liver Cirrhosis

作　　者：柯明霞 张大志[2] 

机构地区：[1]重庆医科大学第二临床学院,重庆 [2]重庆医科大学附属第二医院感染病科,重庆

出　　处：《临床医学进展》2023年第4期5601-5606,共6页Advances in Clinical Medicine

摘　　要：脾功能亢进可由多种疾病所致。在我国,脾功能亢进一般继发于肝硬化患者。大量研究表明,部分脾动脉栓塞术(Partial of splenic embolization, PSE)是脾功能亢进的一个有效治疗手段,且因其创口小,疗效佳和保留了人体脾脏的部分免疫功能,故逐渐成为脾功能亢进的临床一线治疗方法。本文对PSE的手术方法、术后疗效、并发症及其处理等作一综述,期冀为临床工作中PSE的应用提供帮助。Hypersplenism can be caused by many reasons. In China, hypersplenism is mostly secondary to liver cirrhosis. A large number of studies have shown that partial splenic embolization (PSE) is an effective treatment for hypersplenism, and it has gradually become the first-line treatment for hypersplenism because of its small wound, good curative effect and partial preservation of spleen’s immune function. This article reviews the surgical methods, postoperative efficacy, complications and treatment of PSE, hoping to provide help for the application of PSE in clinical work.

关 键 词：部分脾动脉栓塞术 肝硬化 脾功能亢进 临床疗效 并发症 栓塞面积 

分 类 号：R57[医药卫生—消化系统]