部分性脾栓塞治疗肝硬化脾功能亢进(附16例报告)

Partial Splenic Embolization in Hypersplenism Caused by Cirrhosis(Report of 16 Cases)

目的：探讨部分性脾栓塞治疗肝硬化脾功能亢进的临床应用价值。方法：对16例脾功能亢进患者进行PSE治疗，脾栓塞范围60％-75％，术后1周复查血常规，观察其红细胞、白细胞和血小板变化。结果：栓塞后造影显示脾栓塞区域动脉分支减少，部分病例有不同程度的腹痛和发热，予以对症处理症状缓解，无其它严重并发症发生，栓塞后1周外周血白细胞及血小板计数均明显升高，红细胞计数无明显变化。结论：部分性脾栓塞治疗肝硬化性脾功能亢进疗效确切。

Objective： To study the clinical significance of partial splenic embolization （PSE） in the treatment of hypersplenism with portal hypertension. Method： PSE was used in 16 patients with hypersplenism caused by cirrhosis. The embulization area in this group was 60% - 75%. The blood routine examination was conducted one week later after PSE in all patients. Results： The thrombocyte and white blood cell count of this group increased significantly after PSE, but the difference of red blood cell count was not significant. Conclusion： PSE was effective in the treatment of hypersplenism caused by cirrhosis.