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1979年Spigos首倡部分脾栓塞术(PSE)治疗脾亢获得成功。保留部分脾脏功能,避免脾切术后的凶险感染;并发症少于全脾栓塞,是一种安全可靠的非手术疗法。一、栓塞方法按Seldinger操作法,在硬膜外或局部麻醉下经股动脉或腋动脉插管,选择性进入牌动脉(SA),作SA造影观察脾脏大小,脾、胰动脉走向和形态;注入2×2mm~2Gelfoam20～40块,栓塞1/3～2/3脾脏。Gel-foam碎块预先浸于100万u青霉素+80mg庆大霉素100ml生理盐水中(儿童5万u青霉素+12mg庆大霉素)。栓塞剂除用Gelfoam外,还有无水乙醇、葡萄糖、硅橡胶球,聚乙烯醇、
Spigos in 1979 initiated some splenic embolization (PSE) treatment of hypersplenism was successful. Retain some of the spleen function, to avoid the risk of infection after splenectomy; complications less than splenic embolism, is a safe and reliable non-surgical therapy. First, the embolization method Seldinger method according to the operation, in the epidural or local anesthesia by the femoral artery or axillary artery catheterization, selective access to the brand artery (SA), for SA angiography to observe the size of the spleen, spleen, pancreas and morphology; Into the 2 × 2mm ~ 2Gelfoam20 ~ 40, embolism 1/3 ~ 2/3 spleen. Gel-foam fragments pre-soaked in 100 million u of penicillin + 80mg gentamicin 100ml saline (children 50000 u penicillin + 12mg gentamicin). Embolic agent in addition to Gelfoam, there are anhydrous ethanol, glucose, silicone rubber balls, polyvinyl alcohol,