术前设计部分性脾动脉栓塞比例对治疗脾功能亢进的临床意义

Clinical Significance of Part Arterial Embolism Proportion Before Operation in Treatment of Spleen Function Hyperfuction

目的探讨术前设计部分性脾动脉栓塞比例对治疗脾功能亢进的临床意义。方法1989年8月～2007年11月我院对102例肝硬化伴脾功能亢进患者用混合抗生素稀释的欧乃派克作载体,注入1mm×1mm×3mm明胶海绵细条作栓塞物进行脾动脉栓塞,主要从B超或CT和MRI的检查结果、肝功能检查以及患者的一般情况来计划栓塞比例。结果102例肝硬化伴脾功能亢进患者行PSE后治愈80例(78.4%),有效17例(16.7%),效果不明显5例(4.9%)。结论PSE适用范围广,疗效确切,只要熟练掌握插管技术,严格掌握栓塞比例,注意并发症的防治,可作为脾切除的替代手术安全地用于临床。

Objective To discuss the clinical significance of technique designs the part arterial embolism proportion for the spleen function hyperfunction. Methods From August 1989 to 2007 in November which diluted with the blending antibiotic is the parker makes the carrier to 102 examples with liver cirrhosis and partner spleen function hyperfunction 3mm3 the gelatin sponge thin conditional embolism to carry on the arterial embolism,mainly from B ultra or CT and the MRI inspection result, the liver function inspection as well as patient＇s ordinary circumstances planned embolism proportion. Results 102 examples with liver cirrhosis and partner spleen function hyperfunction patient line of PSE cures 80 examples（78.4% ）,effective 17 examples（ 16.7% ）,effect not obvious 5 examples（4.9% ）. Conclusion PSE applicable scope is broad, the curative effect is accurate,so long as doctors grasps the intubation technology,grasps embolism proportion strictly,attention complication preventing and controlling, may use in clinically as the splenectomy substitution surgery security.