儿童部分脾栓塞长期疗效观察

Long Term Efficacy of Partial Splenic Embolization in Children

目的:总结部分脾栓塞治疗儿童脾功能亢进的长期效果。方法:17例脾功能亢进患儿施行了部分脾栓塞,全部病例随访5～6年。结果:栓塞后第3天内,患儿白细胞及血小板计数显著升高,在随访的6年期间血小板及白细胞计数仍维持在正常范围,且脾脏亦显著地缩小。结论:部分脾栓塞是替代脾切除治疗儿童脾功能亢进的有效方法。

Objective;To evaluate the long-term efficacy of partial splenic embolization(PSE) in children with hypersplenism.Methods:Seventeen children with hypersplenism underwent PSE and followed-up for 60-72 months.Results:There was significant elevation of both platelets and leukocyte counts three days after the embolization.The platelet and leukocyte levels remained nor- mal during the follow-up period.The size of spleen decreased obviously in all the children.Con- clusion:PSE is a feasible alternative to total splenectomy as a treatment of hypersplenism in chil- dren.