论文部分内容阅读
目的 :探讨部分性脾动脉栓塞术 (PSE)在治疗脾功能亢进的临床应用价值。方法 :各种原因所致的脾功能亢进患者 2 1例 ,用明胶海绵颗粒 (高温消毒 )加用抗菌素选择性或超选择性脾动脉栓塞。结果 :2 1例脾功能亢进近期疗效达 90 %以上 ,治愈 17例 ,治愈率 84 .7%。随访 1年 ,3例复发 ,复发率 14 .2 % ,行再次脾栓塞。结论 :PSE操作技术不难且适用范围广 ,疗效确切 ,可作为外科脾切除的替代疗法
Objective: To investigate the clinical value of partial splenic arterial embolization (PSE) in the treatment of hypersplenism. Methods: A total of 21 patients with hypersplenism caused by various causes were treated with gelatin sponge particles (high temperature sterilization) plus antibiotic selective or superselective splenic arterial embolization. Results: 21 cases of hypersplenism immediate effect of more than 90%, 17 cases were cured, the cure rate was 84.7%. Follow-up 1 year, 3 cases of recurrence, the recurrence rate was 14.2%, line splenic embolism again. Conclusion: The PSE technique is not difficult and applicable to a wide range of applications and has the exact therapeutic effect. It can be used as an alternative to surgical splenectomy