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目的:探讨脾动脉栓塞治疗肝硬化脾功亢进症的新方法和疗效.方法:对30例(男23例;女7例;)患肝硬化脾功亢进患者在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慢为止.结果:2wk后复查血象、白细胞和血小板均显著增高,血色素无明显改变.超声显示术后2-3d脾脏因瘀血、肿胀增大,以后脾体积显著缩小:脾厚缩至术前67.5%,脾肋下长度缩至术前51.9%.术后临床出现轻度纳差,脾区疼痛、发热.结论:脾栓塞术可以很好的改善肝硬化脾功亢进降低门静脉压力,达到手术切脾的临床疗效并弥补手术的不足.
Objective: To explore the new method and curative effect of splenic arterial embolization in the treatment of liver cirrhosis and hypersplenism.Methods: Thirty patients (23 males and 7 females) with liver cirrhosis and hypersplenism were treated with percutaneous femoral artery puncture in DSA, Splenic artery angiography was performed first and then splenic arterial embolization was performed until the blood flow was significantly slowed down.Results: After 2 weeks, the blood samples were observed, the white blood cells and platelets were significantly increased, no significant changes in hemoglobin.Ultrasonography showed splenomegaly , Swelling increased, after the spleen volume was significantly reduced: spleen thickening to preoperative 67.5%, spleen rib length reduced to 51.9% preoperative .Postoperative clinical manifestations of mild anorexia, spleen pain, fever.Conclusion: splenic embolism Surgery can improve liver cirrhosis hypersplenism to reduce portal pressure, to achieve the clinical effect of surgical splenectomy and make up for the lack of surgery.