摘要
目的观察部分脾栓塞治疗肝硬变所致的脾功能亢进 (简称脾亢 )的临床效果。方法采用Sledinger经右侧股动脉插管对部分脾动脉用明胶海绵进行栓塞。结果本组 10例术后均有上腹轻微疼痛及发热 ,一般持续 3～ 14天 ,术后外周白细胞及血小板数均回升 ;术后半个月临床症状好转 ,腹水消失 ,2例消化道出血停止 ,未出现严重并发症。结论部分脾栓塞术相对安全、有效 ,损伤小 ,并发症少 ,可部分替代外科切脾手术。
Objective To observe the clinical effect of partial splenic embolization(PSE) in treating hypersplenia caused by cirrhosis. Methods Partical splenic artery was embolized with gelatin sponge by tube inserting through the right leg artery by use of Seldinger. Results There was slight pain and fever in the upper left abdomen for 3 14 days in 10 cases after operation. Peripheral blood leukocyte and blood platelet count increased after operation. A half month later following operation, clinical symptoms improved and ascites disappeared. The upper gastrointestinal hemorrhage stopped and no severe complications occurred in 2 cases. Conclusion PSE is comparatively safe and effective, with slight injury and less complications, which can partially replace surgical splenectomy.
出处
《中国综合临床》
北大核心
2003年第9期823-824,共2页
Clinical Medicine of China
关键词
脾动脉栓塞术
肝硬变
脾功能亢进
Splenic artery embolization
Cirrhosis
Hypersplenia
