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目的 探讨动脉造影诊断及超选择栓塞止血治疗闭合性肝、脾外伤的价值。方法 对 15例确诊或可疑闭合性肝、脾外伤患者采用改良Seldinger法进行动脉造影诊断及确诊后用明胶海绵或弹簧圈超选择栓塞止血治疗 ,观察术后疗效。结果 15例均得以确诊并一次栓塞止血成功 ,术后恢复顺利 ,半年以上随访无特殊变化。结论 动脉造影诊断及超选择栓塞止血治疗闭合性肝、脾外伤安全、有效 ,病情恢复快 ,具有较高的临床应用价值。
Objective To investigate the value of arteriography and superselective embolization in the treatment of closed liver and spleen trauma. Methods Fifteen patients with confirmed or suspicious occlusive liver and spleen trauma were diagnosed by arterial angiography with modified Seldinger method and treated with superselective embolization of gelatin sponge or coil. The curative effect was observed. Results All the 15 cases were diagnosed successfully and the embolization was stopped successfully. The postoperative recovery was successful. No special changes were observed after more than six months. Conclusion Arteriography and superselective embolization in the treatment of closed liver and spleen trauma are safe, effective and quick to recover. It has high clinical value.