摘要
目的 评价部分性脾栓塞 (partialsplenicembolization ,PSE)治疗地中海贫血的长期疗效。方法 对 1993年 5月在我院采用PSE术治疗的 75例地中海贫血患者进行随访 ,随访指标主要为术后血红蛋白浓度、输血次数、输血量。选取资料完整的 30例患者进行分析。其中α型地中海贫血 8例 ,β型地中海贫血 2 2例。 结果 30例地中海贫血患者中 ,有 2 6例患者PSE术后输血量减少 ,血红蛋白浓度升高。平均血红蛋白浓度由术前 (6 0 9± 18 9)g/L上升至 (82 3± 17 4)g/L ;输血次数由术前6次 /年 (中位数 )减至 1次 /年 (中位数 ) ;输血量亦由术前的 12 0 0ml/年 (中位数 )下降至 2 0 0ml/年 (中位数 )。总有效率为 86 7% ,其中α、β型地中海贫血患者的有效率分别为 10 0 0 %、81 8%。 结论PSE术是一种治疗地中海贫血的有效疗法 。
Objective To evaluate the long term efficacy of partial splenic embolization(PSE) for thalassanemia major. Methods 75 patients with thalassanemia major were treated with PSE and followed for 5 years,in which 30 patients with compelete data were studied.There were 8 patients with α thalassanemia major,22 patients with β thalassanemia major.The follow up indices included mean haemoglobin concertration,transfusion indices and blood transfusion consumption after embolization at 1,2,3,4,5 years. Results 26 of 30 patients showed a reduction in blood transfusion requirements and increase in haemoglobin level after embolization. The median blood transfusion requirements decreased from 1 200 ml/year before embolization to 200 ml/year; and the transfusion indices dropped from 6 times/year to 1 time/year. The mean of haemoglobin level increased from (60 9± 18 9)g/L to (82 3±17 4)g/L. The total effective rate was 86 7%,in which α ,β thalassanemia major were 100 0%,81 8% respectively. Conclusion PSE is an effective therapeutic procedure for thalassanemia major, especially for α thalassanemia major.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2000年第12期820-822,共3页
Chinese Journal of Radiology
关键词
地中海贫血
部分性脾栓塞术
疗效
介入放射学
Embolization, therapeutic
α Thalassanemia major
β Thalassanemia major
Treatment outcome
