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日本Kurume大学内二科自1981年11月至1984年10月间共施行11例经导管部分脾动脉栓塞术.1例为肝硬化,10例为肝细胞癌合并肝硬化,均有脾肿大和明显脾亢,外周血细胞减低.4例肝细胞癌系经导管肝动脉栓塞治疗时偶然引起脾栓塞,另7例系经股部进路选择性脾动脉插管,导管末端尽可能接近脾门或脾动脉末梢,在透视下注入混有76%amidozoic acid和庆大霉素(1mg/kg)的2×2mm明胶海绵碎块.在脾栓塞前、后立即行血管造影.分别于栓塞前、栓塞后1、3、7天和隔周检查肝功能和外周血象.栓塞前、栓塞一月内检查CT、超声波和肝扫描以评价其疗效.用测面积仪计算血管造影图象上脾梗塞的面积.
In the second department of Kurume University in Japan, 11 cases of transcatheter partial splenic arterial embolization were performed from November 1981 to October 1984. One case had cirrhosis and 10 cases had hepatocellular carcinoma with cirrhosis. All had splenomegaly Obvious hypersplenism, peripheral blood cells decreased .4 cases of hepatocellular carcinoma by transcatheter hepatic arterial embolization occasionally caused by splenic embolization, and the other seven cases by the Department of Selective approach of the splenic artery catheterization, catheter end as close to the spleen door or Peri-splenic artery endoscopies were seeded with 2 × 2 mm gelatin sponge particles mixed with 76% amidozoic acid and gentamycin (1 mg / kg) under fluoroscopy. Angiography was performed immediately before and immediately after embolization, before embolization Liver function and peripheral blood were examined at 1, 3, 7 days and every other week.Embolization, embolization within a month CT, ultrasound and liver scan were used to evaluate its efficacy.Area of splenic infarction .