丙烯酸微球部分脾动脉栓塞治疗肝硬化并发脾亢_杨德久.pdfVIP

当代医学　2010年12月第16卷第35期总第226期　Contemporary Medicine, Dec. 2010,Vol.16 No.35 Issue No.226 doi:10.3969/j.issn.1009-4393.2010.35.035 丙烯酸微球部分脾动脉栓塞治疗肝硬化并发脾亢 杨德久 张彤 [摘要] 目的 观察部分脾栓塞治疗肝硬化所致的脾功能亢进(简称脾亢) 的临床效果。方法 采用Sledinger方法，经右侧股动脉插管对部分脾 动脉用栓塞微粒球进行栓塞。结果 本组30 例术后均有上腹轻微疼痛及发热,一般持续3～14天,术后外周白细胞及血小板数均回升;术后半个月临 床症状好转,腹水消失,6例消化道出血停止,未出现严重并发症。结论 部分脾栓塞术相对安全、有效,损伤小,并发症少,可部分替代外科切脾手 术。栓塞范围宜在70%以内，丙烯酸微球部分栓塞脾动脉效果好，栓塞永久。 [关键词] 丙烯酸微球；脾动脉栓塞术; 肝硬化; 脾功能亢进 Interventional embolization for treating cirrhosis with hypersplenia. YANG De-jiu ZHANG Tong Department of interventional radiology, Affi liated Hospital of North China Coal Medical College (Tangshan 063000,China) [Abstract] Objective To observe the clinical effect of partial splenic embolization (PSE) in treating hypersplenia caused by cirrhosis. Methods 入 介 管 血 非 Partial splenic artery was embolized with embosphere after catheterization with Seldinger technique. Results There was slight pain and fever in the upper left abdomen for 3-14 days in 30 cases after operation. Peripheral blood leukocyte and blood platelet count increased after operation. Clinical symptoms were improved and ascites disappeared 2 weeks after operation. The upper gastrointestinal hemorrhage stopped in 6 cases and no severe complications occurred. Conclusion PSE is comparatively safe and effective, with slight injury and less complications, which can partially replace surgical splenectomy. Acrylic microspheres is a permanent embolic material. N [Key Words] Microspheres;Splenic artery embolization ;Cirrhosis ;Hyper