摘要
目的评价超选择脾部分栓塞术治疗肝硬化门静脉高压、脾功能亢进的疗效。方法应用seldinger's技术超选择栓塞15例研究对象脾中下极动脉,栓塞面积40%～60%,多角度评价治疗效果。结果超选择脾部分栓塞术能有效提升白血球、血小板值且疗效稳定,红血球提升相对较慢;门静脉高压得到迅速降低,病人的出血、腹水、纳差、乏力等临床症状明显改善,毒副反应少,无严重栓塞后并发症发生。结论应用超选择脾部分栓塞术治疗肝硬化门静脉高压、脾功能亢进可取得很好疗效,毒副反应少见。
Objective To evaluate the curative effect of partial splenic embolization in patients with portal hypertension and hypersplenism caused by hepatocirrhosis.Methods in fifteen patients the Seldinger techique was used to superselected embolize the inferior splenic artery.The scope of embolization was controlled between 40%～60%.Then evaluated the curative effect in different aspects.Result The superselected partial splenic arterial embolization can effectively and stably increase the level of WBC and PLT in periphral circulation ,but the increase of RBC was relatively slow;the higher portal pressure lowered in a short time;the clinic symptoms in patients such as bleeding,ascites,inappetence,atomy improved obviously.And no severe complication occurred.Conclusion The treament of supperselected partial splenic embolization in portal hypertension and hypersplenism caused by hepatocirrhosis can make a good effect and the side effects are rarely fund.
出处
《内科》
2006年第1期10-12,99,共4页
Internal Medicine
