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部分脾栓塞术(partial splenic embolization,PSE)用于治疗脾功能亢进已取得较好疗效。我院自1987年11月至1990年12月以此术治疗41例慢性肝病所致脾亢,与此同时观察到PSE对门静脉血液动力学有一定影响,特报告如下。 材料和方法 一、一般资料 本组男23例,女18例。年龄19～66岁,平均41.5岁。肝病中慢性肝炎19例,肝硬变15例,血吸虫病肝纤维化7例,均经肝活检病理证实。其中伴腹水10例,肝性胸水1例,食管静脉曲张19例,反复呕血9例,平均出血频率每年1.3次。肝功能Child A级17例,B级13例、C级11例。B超示脾面积平均为
Partial splenic embolization (PSE) for the treatment of hypersplenism has achieved good results. Our hospital from November 1987 to December 1990 to treat 41 cases of chronic liver disease caused by hypersplenism, at the same time observed PSE portal vein hemodynamics have a certain impact, especially the report is as follows. Materials and methods First, the general information The group of 23 males and 18 females. Age 19 to 66 years old, average 41.5 years old. 19 cases of chronic hepatitis in liver disease, cirrhosis in 15 cases, schistosomiasis hepatic fibrosis in 7 cases, confirmed by liver biopsy. Including ascites in 10 cases, 1 case of hepatic pleural effusion, 19 cases of esophageal varices, repeated vomiting in 9 cases, the average bleeding frequency of 1.3 times per year. There were 17 cases with Child A grade of liver function, 13 cases of grade B and 11 cases of grade C. B ultrasound showed that the spleen area is