选择性脾动脉栓塞治疗脾破裂的临床分析

目的探讨选择性脾动脉栓塞治疗脾破裂的临床疗效。方法对18例单纯性脾破裂患者均采取Seldinger法穿刺股动脉后选择性或超选择性插管脾动脉造影,查找出血部位,用栓塞剂栓塞出血部位脾动脉。结果 18例脾破裂患者均止血成功,治愈率100%,术后随访4周,未发现复发病例。结论 选择性脾动脉栓塞治疗单纯脾破裂是一种疗效满意、微创、易被医患双方接受、有临床应用价值的治疗方法。

Objective To study the clinical curative effect of selective splenic artery embolization in spleen rupture. Methods The seldinger ＇s method was used to puncture into femoral artery in 18 cases of simple spleen rupture, and the selective splenic artery angiography was done to find bleeding site. The embolic agents were used to embolize the bleeding site. Results Success was achieved in all 18 cases with cure rate 100%. Followed up for four weeks, no relapse case was found. Conclusion Selective splenic artery embolization for simple spleen rupture is satisfactory, minimally invasive and easy, which can be accepted by doctors and patients and has clinical value of treatment.