摘要
目的：为使脾部分栓塞术（ＰａｒｔｉａｌＳｐｌｅｎｉｃＥｎｂｏｌｉｚａｔｉｏｎ，ＰＳＥ）在国内推广并取代脾切除提供可靠的临床证据。方法：借助介入放射学通过股动脉插管选择性向脾动脉或其末梢分支注入一定大小和数量的栓塞物，使脾部分区域梗死和机化，产生脾切除效应。结果：本组５２例，治愈率９６．８８％，死亡率３．１２％，并发症发生率６．２５％，经远期随访疗效满意。结论：ＰＳＥ治疗各类脾亢、部分血液病和脾破裂出血疗效显著，创伤轻微，并发症少，既可治病，又能保脾，值得推广应用。
Object: To analyze the clinical materials and evaluate the
technique of partial splenic enbolization (PSE). Methods: For achieving the effect of partial
infarction and organization of spleen,a special amount of the enbolismic material was injected
into the splenetic artery or its terminal with arterial intubation under interventional radiology.
Results: In 52 cases,PSE could produce the effect like partial splenectomy,the cured rate was
96.88%,the death rate was 3.12% and the rate of complication was 6.25%,as well as satisfied
long-term follow-up result. Conclusion: With little trauma and complication,PSE had remarkable
effect in treating all kinds of hypersplenism,some kinds of hematopathy and partial splenic
rupture.For both keeping the spleen and treating the disease,PSE should be promoted.
出处
《中国现代医学杂志》
CAS
CSCD
1999年第6期9-10,共2页
China Journal of Modern Medicine
