部分性脾动脉栓塞技术在脾功能亢进病人介入治疗中的应用

Application of Partial Splenic Embolization in Patients with Hypersplenism

目的探讨部分性脾动脉栓塞治疗脾功能亢进在临床应用中的意义。方法 29例脾功能亢进患者,均采用Seldinger技术,超选择脾动脉插管进行部分性脾动脉栓塞治疗,治疗过程中要测定血细胞术前术后计数。结果术后不同程度血细胞增高,尤其以白细胞、血小板升高明显,29例病人血细胞接近或达到正常值范围,术后随访病人牙龈出血、鼻出血及皮下淤血现象均改善或者完全消失。结论脾动脉栓塞后1、7、15、30天分别检查血常规,白细胞、血小板均较术前明显升高,有7例接近正常值,22例升至正常范围,治疗有效率100%。

Objective To explore the significance of clinical applications of partial splenic embolization in the treatment of hypersplenism. Methods Superselective partial splenic artery embolization was performed in 29 cases with hypersplenism with Seldinger technique. The blood cell was counted before and after operation. Results Different degree of blood ceils increased after the operation, particularly in the white blood cells and platelets. In 29 patient blood cells closed to or reached the normal range. In the postoperative follow up gingival bleeding, epistaxis and subcutaneous congestion phenomenon was improved or disappeared completely in all patients. Conclusion Leukocytes, platelets were significantly higher than the preoperative cells respectively 1,7,15 and 30 days after splenic artery embolization. Among them, seven cases was close to normal, rose to 22 cases of the normal range, the efficient rate was one hundred oercent.