超选择性脾动脉栓塞治疗肝硬化性门脉高压

【作者】 杜端明； 刘鹏程； 陈在中；

【机构】 北京大学深圳医院影像中心；

【摘要】 目的:探讨超选择性脾动脉栓塞治疗肝硬化性门脉高压症的临床价值。方法: 采用超选择性脾动脉栓塞治疗肝硬化性门脉高压症5例,低压流控法部分性脾动脉栓塞治疗肝硬化性门脉高压症1例,观察治疗前后门脉压力,血白细胞、血小板计数及肝功能的变化情况,判断治疗效果。结果:所有病人治疗后门脉压力明显降低,血白细胞和血小板计数升高,肝功能 GPT 下降。无严重并发症发生。结论:超选择性脾动脉栓塞是一种安全、有效治疗肝硬化性门脉高压症的方法,既可以降低门脉压力,又可以改善脾功能亢进。更多还原

【Abstract】 Objective:To evaluate the clinical application of intraselective splenic arterial embolization to treat the patients with portal hypertension caused by hepatocirrhosis. Methods:6 patients with portal hypertension caused by hepatocirrhosis,5 patients were treated by intraselective splenic arterial embolization and 1 patient was treated by selective splenic arterial embolization.Before and after the operation,the portal pressure and blood routine and hepatic function were observed.Result:Compared with the condition before operation,the portal pressure and GPT decreased and WBC and Pit rose obviously.No severe complication occurred in all patients.Conclusion:Intraselective splenic arterial embolization is safe and effective treatment for portal hypertension caused by hepatocirrhosis.It lessens the portal hypertension and reduce or eliminate hypersplenism.更多还原