摘要
目的:观察15例肝硬化失代偿期脾功能亢进患者脾内无水酒精注射治疗的疗效。方法:经皮脾内注射无水酒精治疗15例脾亢患者。从小剂量0.5ml开始,然后根据患者外周血象变化逐渐增加无水酒精的剂量。结果:经皮脾内注射无水酒精,能够改善脾亢,15例2治疗前血小板平均值(44±13)×10^9/L,治疗后两周血小板计数平均值增加至130±10^9/L,结论:经皮脾内注射无水酒精术操作简便直观,疗效肯定。
Object: AIM To evaluate the effectxiveness of absolute alcohol injection in 15 cases of liver cirrhosis complicated with hypersplenism. Methods; 15 cases of hypersplenism were injected with absolute alcohol into the spleen percutaneouly. The initial dose was 0.5 ml and then increased gragually according to the patients' peripheral blood cell count. Results: This technique can improve the clinical condition of herpersplenism. The average platelets count increased from 44±13×l0~9/L before the procedure to 130± 110× 109/L at two weeks later (P<0.01).