50例脾动脉部分栓塞术的临床分析.pdfVIP

420 • 论 著 • January 2013, Vol.11, No.2 Guide of China Medicine 50例脾动脉部分栓塞术的临床分析 李昌先 （安徽省蚌埠市第五人民医院影像科，安徽蚌埠 233000 ） 摘要 目的 方法 【 】 对部分脾拴塞治疗而引起的血细胞减少的疗效分析。 对50 例慢性乙型肝炎引起的肝硬化脾亢病例进行疗效回顾性分析。 结果 通过对 50 例患者术后跟踪观察，对选择性脾动脉部分拴塞治疗肝硬化、慢性乙型肝炎、门静脉高压等引起的脾亢出现的三系减少有 着明显疗效，近期疗效明显，远期疗效欠佳。结论 选择性脾动脉部分拴塞术对于治疗肝硬化、慢性乙型肝炎、门静脉高压引起的三系减少， 短期治疗效果明显。由于门静脉高压持续等原因影响远期效果。手术过程操作简单，安全且并发症较少。 关键词 【 】脾动脉；部分拴塞；血细胞 中图分类号：R657.6 文献标识码：B 文章编号：1671-8194（2013）02-0420-02 Clinical Analysis of 50 Cases of Partial Embolization of the Splenic Artery LI Chang-xian (Department of Radiology, Fifth Peoples Hospital of Bengbu, Bengbu 233000, China) [Abstract]Objective The partial splenic embolization therapy cause blood cells to reduce the efficacy analysis. Methods 50 patients with chronic hepatitis B induced liver cirrhosis cases of hypersplenism efficacy retrospective analysis. Results 50 patients with postoperative follow-up observations part of selective splenic artery embolization treatment of cirrhosis, chronic hepatitis B, portal hypertension caused by hypersplenism reduce obvious short-term effect has a significant effect, the long-term efficacy poor. Conclusion The selective splenic artery partial embolization surgery for the treatment of liver cirrhosis, chronic hepatitis B, and three-line portal hypertension caused decrease in short-term therapeutic effect is obvious. Due to portal hypertension sustained, etc., affect the long-term effects. The surgical procedure is simple, safe and less complications. [Key words]Splenic artery; Partial embolization; Blood cells 肝硬化引起的脾肿大、脾亢的传统治疗方法是脾切除术。但是 等。剧烈疼痛平均4d 。此次研究中