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部分脾动脉栓塞术治疗脾功能亢进症32例疗效观察

杨健 周培华

重庆医学2011,Vol.40Issue(10):1006-1007,1010,3.
重庆医学2011,Vol.40Issue(10):1006-1007,1010,3.DOI:10.3969/j.issn.1671-8348.2011.10.034

部分脾动脉栓塞术治疗脾功能亢进症32例疗效观察

Clinic evaluation of partial splenic artery embolization on 32 cases with hypersplenism

杨健 1周培华2

作者信息

  • 1. 重庆市第三人民医院放射科,400014
  • 2. 重庆市第一人民医院放射科,400011
  • 折叠

摘要

Abstract

Objective To assess the therapeutic effect and clinical significance of partial splenic artery embolization(PSE) in the treatment of hypersplenism. Methods 31 cases with liver cirrhosis accompanied by hypersplenism, 1 case with thalassemia was treated with PSE. the preoperative and postoperative variations of hemogram, spleen size and postoperative complications were observed. Results After PSE,the numbers of white blood cells(WBC)and peripheral blood platelets(PLT) counts of all of the patients rasied obviously compared with preoperation. The red blood cells(RBC) amount of case with thalassemia increased obviously,the splenic thick became thinner after 2- 3 months. In the return check for 12 cases after one year, 3 cases of them recured,and their hemogram descended again. 1 case with liver cirrhosis died for sever esophageal varices which leaded to upper gastrointestinal hemorrhage. Conclusion PSE has significant efficacy on hypersplenism, However, the complications and the recrudescence of hy persplenism should be cared.

关键词

肝硬化/地中海贫血/脾功能亢进/部分脾动脉栓塞术

Key words

liver cirrhosis/ thalassemia/ hypersplenism/ partial splenic artery embolization

引用本文复制引用

杨健,周培华..部分脾动脉栓塞术治疗脾功能亢进症32例疗效观察[J].重庆医学,2011,40(10):1006-1007,1010,3.

重庆医学

OA北大核心CSCDCSTPCD

1671-8348

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