Embosphere栓塞微粒球在部分性脾动脉栓塞术中的应用--李晓东.pdfVIP

·38· 临床手术经验 Embosphere栓塞微粒球在部分性脾动脉栓塞术中的应用 李晓东 【摘要] 月我院收治并明确诊断的脾功能亢进2l例，应用Embosphere栓塞微粒球行部分性脾动脉栓塞术。结果术后21例血细胞 数量均有不同程度回升，血白细胞在术后3d均升至正常数值的1．5—2倍，2周后逐渐恢复正常；红细胞、血小板在手术2周 后缓慢回升，3个月后复查红细胞恢复正常18例，血小板恢复正常20例。21例临床症状均有不同程度改善，术后2周、3个 em×8 月cT和(或)超声检查脾脏均小于15cm。术后21例均出现轻中度发热，体温37．8～39．2℃，持续5～7d即自行消 退；脾区轻微疼痛15例，中度疼痛6例。所有患者均未出现恶心、呕吐及胸腔积液、腹腔积液，随访3个月未出现肺不张、胰 腺炎及脾脓肿等。结论脾功能亢进者应用Embosphere栓塞微粒球行部分性脾动脉栓塞术效果好，安全可行。 [关键词]脾功能亢进；部分性脾动脉栓塞术；Embosphere栓塞微粒球 [中国图书资料分类号】R657．63[文献标志码】A [文章编号]1002—3429(2013)09-0038-03 [DOI]10．3969／j．issn．1002．3429．2013．09．016 EmbolismParticleBallin ofPartial Embolization Embosphere ApplicationSplenic Surgery LI of Third of Tumor InfectiousDisease Xiao-dung(DepartmentRadiology，theHospitalChengdeCityChengdeHospital Hospi— 067000，China) tal，Chengde，Hebei To embolism ballin of embolization [Abstract]ObjectiveexploreEmbosphereparticle applicationpartialsplenicartery Atotalof21 with admittedtoour 2011and 2012under— surgery．Methodspatientshyperthyroidism hospitalduringAugust August went embolizationwith embolismball．ResultsThebloodcellnumberof21 partialsplenic surgeryEmbosphere artery particle pa． tientsincreasedwithdifferent blood d on3 increased1．5—2timesofnormal re— levels，postoperativeleukocyte value。and gradually turnedtonormal2weeks bloodcellsand 2weeksafter bloodcellsreturnedtonormalin later；red plateletspickedup operation；red 18patients，andof20 alsoreturnedtonormalin review3months of21 plateletspatients postoperat