Embosphere栓塞微粒球在部分性脾动脉栓塞术中的应用

Embosphere Embolism Particle Ball in Application of Partial Splenic Embolization Surgery

目的 探讨应用Embosphere栓塞微粒球行部分性脾动脉栓塞术的体会.方法 选择2011年8月-2012年8月我院收治并明确诊断的脾功能亢进21例,应用Embosphere栓塞微粒球行部分性脾动脉栓塞术.结果 术后21例血细胞数量均有不同程度回升,血白细胞在术后3d均升至正常数值的1.5 ～2倍,2周后逐渐恢复正常；红细胞、血小板在手术2周后缓慢回升,3个月后复查红细胞恢复正常18例,血小板恢复正常20例.21例临床症状均有不同程度改善,术后2周、3个月CT和（或）超声检查脾脏均小于15 cm×8 cm.术后21例均出现轻中度发热,体温37.8 ～ 39.2℃,持续5～7d即自行消退；脾区轻微疼痛15例,中度疼痛6例.所有患者均未出现恶心、呕吐及胸腔积液、腹腔积液,随访3个月未出现肺不张、胰腺炎及脾脓肿等.结论 脾功能亢进者应用Embosphere栓塞微粒球行部分性脾动脉栓塞术效果好,安全可行.

Objective To explore Embosphere embolism particle ball in application of partial splenic artery embolization surgery.Methods A total of 21 patients with hyperthyroidism admitted to our hospital during August 2011 and August 2012 underwent partial splenic artery embolization surgery with Embosphere embolism particle ball.Results The blood cell number of 21 patients increased with different levels,postoperative blood leukocyte on 3 d increased 1.5-2 times of normal value,and gradually returned to normal 2 weeks later; red blood cells and platelets picked up 2 weeks after operation; red blood cells returned to normal in 18 patients,and platelets of 20 patients also returned to normal in postoperative review 3 months later,Clinical symptoms of 21 patients were improved with different degrees,and spleen volumes of 21 patients were less than 15 cm × 8 cm by CT and/or ultrasonic inspection 2 weeks and 3 months after operation.Mild and moderate fever at 37.8-39.2℃ of temperature were recorded in the 21 patients for 5-7 d after operation ; 15 patients suffered spleen slight pain,and 6 patients suffered moderate pain.There were no nausea,vomiting,pleural effusion and peritoneal effusion,and atelectasis,pancreatitis and splenic abscess did not also occur in 3-month follow-up.Conclusion Embosphere embolism particle ball in application of partial splenic embolization surgery for patients with hypersplenism is safe to use and has satisfactory results.