部分性脾栓塞术的临床应用

The Clinical Applation of Partial Splenic Embolization

通过对20例肝硬化脾机能亢进的部分性脾动脉栓塞术 PSE治疗分析,认为:(1)超选择脾动脉是PSE成功的关键,以 RH管成功率高.(2)栓塞面积,单纯改善脾机能亢进,栓塞面积30%～40%为宜.既改善脾机能亢进,又降低门脉压力,栓塞面积60%～80%为宜.(3)部分性脾栓塞对降低门脉压力有一定的作用,但降压作用有限.

The authors analyed the results of partial splenic embolization (PSE) therapy on 20 cases with liver virrhosis complicating hypersplenism and discussed the embolization technique, area and effec of reducing portal hypertension with PSE. We considered:Supper selection of splenic artery was the key of success,using RH catherter has higher success rate. The 30%~ 40% embolization area could only improve hypersplenism and the 60%~80% embolization area could improve hypertension as well. We found that PSE could reduce portal hypertension, but it was temporal and limited.