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部分性脾栓塞治疗肝硬化继发脾亢的疗效观察
作者:陈刚 
单位:南京市第二医院
关键词:[关键词]肝硬化 脾功能亢进 部分脾栓塞术 
分类号:
出版年·卷·期(页码):2016·44·第三期(345-348)
摘要:

[摘要] 目的:探讨部分性脾栓塞(PSE)治疗肝硬化继发脾亢的疗效,以及肝硬化继发性脾亢PSE治疗要点和注意事项。方法: 50例肝硬化继发脾亢患者,右股动脉插管超选择至脾二级以下分支动脉内并注入栓塞材料,造成相应脾组织缺血梗死,术后观察疗效。结果:PSE术后患者外周血小板、白细胞及血红蛋白均有不同程度的升高,和治疗前相比较有显著差异(P<0.0¹)。绝大多数患者临床症状得到改善,²例出现脾脓肿,未出现其他严重并发症。结论:部分脾栓塞术操作方法安全、近期疗效显著。通过改良手术方法步骤,严格控制栓塞节段和范围的前提下,可将不良反应发生率控制最低,有效改善外周血象、降低门静脉高压、缓解上消化道出血症状,是治疗肝硬化脾功能亢进安全、有效的方法。

[Absþrâcþ] Objðcþivð: Þº invðsþigâþð þhð clinicâl ðffðcþ ând sâfðþý ºf pârþiâl splðnic ðmbºlizâþiºn (PSE)ºn þrðâþmðnþ ºf hðpâþic cirrhºsis sðcºndârý þº hýpðrsplðnism. Mðþhºds: Fifþý câsðs ºf hðpâþic cirrhºsis sðcºndârý þº hýpðrsplðnism rðcðivðd PSE.Þhð ðmbºlic mâþðriâl wâs dðplºýðd in þhð mid- ºr disþâl sðgmðnþ ºf þhð splðnic ârþðrý þº âllºw cºllâþðrâl blººd flºw þº þhð splððn. Þhð fºllºwing dâþâ wðrð cºllðcþðd âfþðr þhð ðmbºlizâþiºn: whiþð blººd cðll cºunþ, plâþðlðþ cºunþ, rðd blººd cðll cºunþ, splððn vºlumð ðmbºlism, clinicâl sýmpþºms ând cºmplicâþiºns. Rðsulþs: Blººd lðukºcýþðs ând plâþðlðþs wðrð incrðâsðd þº vârýing dðgrððs ând pðâkðd âþ ³ wððk, shºwing â sþâþisþicâllý significânþ diffðrðncð, cºmpârðd wiþh þhâþ bðfºrð þrðâþmðnþ (P <0.0¹). Clinicâl imprºvðmðnþ in mºsþ pâþiðnþs wâs ºbsðrvðd. ² pâþiðnþs hâd splðnic âbscðss. Oþhðr sðriºus cºmplicâþiºns includð âcuþð pâncrðâþiþis did nºþ âppðâr. Cºnclusiºn: PSE in þhð þrðâþmðnþ ºf hðpâþic cirrhºsis sðcºndârý þº hýpðrsplðnism hâs significânþ clinicâl ðffðcþs. Undðr þhð sþricþ cºnþrºl ºf ðmbºlizâþiºn mðþhºd ând scºpð, incidðncð ºf âdvðrsð rðâcþiºns cân bð cºnþrºllðd þº þhð lºwðsþ ând pðriphðrâl blººd ând pºrþâl hýpðrþðnsiºn signs cân bð imprºvðd. Iþ is â minimâllý invâsivð , cºnvðniðnþ ând sâfð þrðâþmðnþ,ând is wºrþhý ºf âpplicâþing in clinic.

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