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目的探讨动脉栓塞术治疗急、慢性胰腺炎合并假性脾动脉瘤的临床可行性,并观察其临床效果。方法8例假性脾动脉瘤病人,6例为急性胰腺炎坏死组织清除术后腹腔和胃肠道出血;2例为慢性胰腺炎,其中1例消化道出血,1例无症状偶然发现瘤体者。运用弹簧钢圈栓塞脾动脉破口的近、远两端。术后CT观察瘤体灌注情况及出血情况。结果8例病人均栓塞成功,7例出血者成功止血,无症状者CT复查瘤体无对比剂灌注;随访3～21个月,6例无再发出血。结论经皮穿刺脾动脉栓塞术是1种简便、安全、有效的治疗假性脾动脉瘤方法。
Objective To investigate the clinical feasibility of arterial embolization in the treatment of acute and chronic pancreatitis complicated with splenic aneurysm and to observe its clinical effect. Methods Eight patients with splenic aneurysm were divided into 6 groups, abdominal and gastrointestinal bleeding after tissue necrosis of acute pancreatitis, 2 patients with chronic pancreatitis, 1 case of gastrointestinal bleeding and 1 case of asymptomatic accidental tumor discovery . The use of spring steel embolization of the proximal and distal ends of the splenic artery. Postoperative CT observation of tumor perfusion and bleeding. Results All the 8 patients were successfully embolized. Seven of the hemorrhagic patients succeeded in stopping the bleeding. None of the patients with asymptomatic CT had a contrast-free perfusion of the tumor. All the patients were followed up for 3 to 21 months. No recurrence was found in 6 patients. Conclusion Percutaneous splenic arterial embolization is a simple, safe and effective method of treating splenic aneurysm.