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目的探讨部分脾动脉栓塞术治疗门静脉高压并发脾功能亢进、原发性血小板减少性紫癜、骨髓增生异常综合征、自身免疫性溶血性贫血的新方法和疗效。方法对 20例(男13例,女,7例)患者在数字减影血管造影(DSA)下行经皮股动脉穿刺,先行脾动脉造影,然后超选择行脾动脉栓塞至血流明显减少为止。结果 2个月后复查血象,白细胞(WBC)、血小板(PLT)均有显著提高,血色素(HGB)亦有所提高,1个月后 B 超提示脾脏体积缩小。结论部分脾动脉栓塞术,损伤小、疗效明显、安全可靠、并发症少,是一种可行的保守治疗,同时又能保留脾脏的免疫功能,值得推广。
Objective To explore a new method and efficacy of partial splenic arterial embolization in the treatment of portal hypertension complicated with hypersplenism, idiopathic thrombocytopenic purpura, myelodysplastic syndrome and autoimmune hemolytic anemia. Methods Twenty patients (13 males and 7 females) underwent percutaneous femoral artery puncture with digital subtraction angiography (DSA). The splenic arterial angiography was performed first and then the splenic arterial embolization was performed to reduce the blood flow significantly. Results After 2 months of reviewing the blood samples, WBC and PLT were significantly increased, and hemoglobin (HGB) was also improved. After 1 month, B - mode ultrasound showed that the spleen volume was reduced. Conclusion Some of the splenic artery embolization, small injury, obvious curative effect, safe and reliable, less complications, is a viable conservative treatment, while retaining the immune function of the spleen, it is worth promoting.