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目的 :对原发性肝癌伴脾功能亢进 (脾亢 )患者行部分脾栓塞 ,使其血细胞恢复正常 ,以便能进一步行肝动脉化疗。方法 :对 46例不能行手术切除 ,且血细胞明显低于正常的肝癌伴脾亢的患者行部分脾栓塞 ,栓塞面积控制在 5 0 %～ 70 % ,栓塞前后测定血细胞数量 ,并作方差分析和t检验。结果 :脾栓术后 2 4h、48h、72h、1周、2周、4周的血白细胞和血小板均较栓塞前明显升高 (P <0 .0 5和P <0 .0 1)。结论 :部分脾栓塞能治疗脾功能亢进 ,提高血细胞数量 ,使肝癌伴脾亢患者的肝动脉化疗能正常进行
Objective: To partial hepatectomy with hypersplenism (hypersplenism) in patients with partial splenic embolism, so that the blood cells returned to normal, so that further hepatic arterial chemotherapy. Methods: Forty-six patients who were not surgically resected and whose blood cells were significantly lower than those with normal liver cancer and hypersplenism were treated with partial splenic embolization. The embolization area was controlled from 50% to 70%. The number of blood cells was measured before and after embolization, t test. Results: The levels of white blood cells and platelets at 24 h, 48 h, 72 h, 1 week, 2 weeks and 4 weeks after splenectomy were significantly higher than those before embolization (P <0.05 and P <0.01). Conclusion: Some splenic embolization can treat hypersplenism, increase the number of blood cells, so that hepatic arterial chemotherapy in patients with hepatocellular carcinoma and hypersplenism can proceed normally