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目的 :探讨超选择性脾叶以下动脉分支插管行部分脾动脉栓塞的临床应用。方法 :总结分析 1 0例超选择性部分脾动脉栓塞病例的临床及影像学资料。结果 :本组中巨红细胞增多症、血小板减少性紫癜病例完全治愈 ;肝硬化脾功能亢进者 ,脾功能亢进及门静脉高压得以缓解 ;肝硬化并肝癌的患者 ,由于化疗所致的血象降低及肝功损害快速恢复得以继续治疗。 1 0例中仅 1例出现少量左侧胸腔积液 ,未出现其他严重并发症。结论 :超选择性部分脾动脉栓塞术与非超选择性脾栓塞相比 ,更能减少并发症的发生 ,且有助于栓塞范围的准确判断
Objective: To investigate the clinical application of partial splenic arterial embolization following arterial branch intubation following hyper-selective spleen. Methods: To summarize the clinical and imaging data of 10 cases of super selective partial splenic arterial embolism. Results: In this group, the cases of polycythemia and thrombocytopenic purpura were completely cured; those with cirrhosis and hypersplenism, hypersplenism and portal hypertension were relieved; the patients with cirrhosis and hepatocellular carcinoma had decreased blood count due to chemotherapy and liver Functional damage rapid recovery to continue treatment. Only 1 of 10 cases had a small amount of left pleural effusion, no other serious complications. CONCLUSIONS: Superselective partial splenic arterial embolization can reduce the incidence of complications compared with non-super-selective splenic embolization and contribute to the accurate assessment of the extent of embolization