摘要
目的:探讨部分脾动脉栓塞术(PSE)在治疗肝硬化引起的脾功能亢进中的方法、疗效及临床价值。方法:西门子数字减影机下对31例患者(慢性乙型病毒性肝炎、肝硬化伴脾功能亢进17例,肝硬化并肝癌伴脾功能亢进14例)进行部分脾动脉栓塞,观察术前、术后外周血象及并发症发生的情况。结果:脾功能亢进患者行部分脾动脉栓塞后外周血象均达正常,半年随访治愈率占80%,总有效率95%。结论:PSE对治疗脾功能亢进有明显疗效,是一种损伤小、安全程度高、不良反应少的治疗方法,可以补充传统的外科脾切除手术。
Objective：To discuss the treatment effects of partial spleen artery embolism（PSE） on the hypersplenism caused by liver cirrhosis.Methods：31 patients,who had suffered from hypersplenism because liver diseases（such as liver cirrhosis,cancer,chronic hepatitis B）,were selected（male 20,female 11,aged 27 to 73 years） and conducted the surgery of partial spleen artery embolism.All participants were performed the examination of hepatitis A and B virus,cancer markers,coagulation index,abdomen ultrasound and CT scanning,and hematological abnormal was excluded by bone marrow smear.The changes of peripheral blood and complications were assessed before and after surgery.Results：A normal peripheral blood changed after embolism surgery in all patients.There was cure rate of 80% and total effective rate of 95% after follow up of 6 months.Conclusions： Partial spleen artery embolism is a less injury,security and effective way for treatment of hypersplenism caused by liver cirrhosis.
出处
《青海医药杂志》
2010年第12期3-5,共3页
Qinghai Medical Journal
关键词
脾大
脾功能亢进
脾动脉栓塞术(PSE)
Hypersplenism
Partial spleen embolism
Liver cirrhosis
Surgery treatment
