摘要
目的探讨脾动脉栓塞后上消化道出血的可能原因。方法对43例肝癌合并肝硬化门脉高压患者采用肝动脉化疗栓塞及脾动脉栓塞,脾实质栓塞面积为30%～60%左右。结果7例患者栓塞后在1～3d出现上消化道出血,均为轻度。结论脾动脉栓塞能有效的降低门脉压力,缓解脾功能亢进。但在少数情况下可能导致上消化道出血。
Objective:To explore the causes of upper digestive tract hemorrhage after splenic artery embolization.Methods:43 patients underwent transcatheter arterial chemoembolization and partely splenic artery embolization for hepatic carcinoma with hepatic cirrhosis and portal venous hypertension.The extent of splenic embolization was 30%～60%.Resultes:7 cases developed symptoms of upper digestive tract hemorrhage 1～3 days after the procedure,The degree of hemorrhage was mild in most of cases.Conclusion:Splenic artery embolization can effectively relieve the portal venous hypertension.But in some cases it can lead to upper digestive tract hemorrhage.
出处
《放射学实践》
2005年第5期410-412,共3页
Radiologic Practice
关键词
肝肿瘤
脾功能亢进
消化系统疾病
放射学
介入性
Liver neoplasms
Hypersplenism
Digestive system diseases
Radiology,interventional
