【摘要】 目的:探讨对肝硬化脾功能亢进患者行不同程度栓塞后的临床疗效。方法:选择43例肝炎后肝硬化脾功能亢进患者。A组17例,栓塞面积约40%~50%;B组26例,栓塞面积约70%~80%。采用Seldinger技术经右侧股动脉插管到脾动脉脾门处或脾中下极动脉用PVA微粒行部分脾动脉栓塞。并于术后3d、1周、2周、1个月、3个月、6个月、1年及两年复查血常规,以此评价两种不同栓塞程度治疗的效果。结果:术后白细胞、血小板均上升。B组的疗效优于A组,并有统计学意义。结论:部分脾动脉栓塞面积在70%~80%疗效较好,在病情允许下应加大栓塞面积,以稳定疗效。更多还原

【Abstract】 Objective:To probe into the clinical curative efficacy on patients suffering from hyperslenia in liver cirrhosis after being treated by different areas of embolization.Methods:43 cases of patients suffering from posthepatitic cirrhosis hypersplenia were chosen and divided into 2 groups.Group A had 17 cases;area of embolization was about 40%~50%.Group B had 26 cases;area of embolization was around 70%~80%.The catheter was inserted using Seldinger′s technique into the arteries of middle or lower pole of spleen and PVA granules were used as embolic material.After 3 days,1 week,2 weeks,1 month,3 months,6 months,1 year,2 years the blood routime examination was carried out.Results:After operation leucocytes and thrombocytes both ascend.However,two kinds of curative effect of different extent remain divergence.Group B is superior to Group A on efficacy.Conclusion:The curative effect of partial splenic embolization in 70%~80% is better.It is preferable to enlarge the area of embolization,if the patient′s condition permits,in order to steady the efficacy.更多还原