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目的：研究经皮穿脾门静脉插管的可行性。方法：在电视透视＋选择性脾动脉插管联合导引下采用微创穿刺法对 １７例患者进行经皮穿脾门静脉插管。结果：１５例患者穿刺成功并完成了所预定的操作，２例失败。１５例中１人出现急腹症腹腔穿刺抽得不凝血，经保守治疗后缓解。余１６例均无明显并发症。结论：经皮穿脾门静脉插管是一种安全实用的经皮穿刺门静脉插管法，可作为经皮穿肝门静脉插管的替代方法，尤其适用于肝门静脉闭塞而又需作门静脉插管的患者。
Objective: To study the feasibility of percutaneous transvenous portal vein catheterization. Methods: Twenty-seven patients underwent percutaneous transluminal splenic portal vein catheterization with minimally invasive puncture under the combined guidance of TV fluoroscopy and selective splenic arterial cannulation. RESULTS: Fifteen patients had a successful puncture and completed the scheduled procedure, with two failed. One patient in 15 cases had abdominal puncture of acute abdomen and had no blood coagulation, which was relieved after conservative treatment. More than 16 cases no obvious complications. Conclusion: Percutaneous trans-splenic portal vein catheterization is a safe and practical method of percutaneous portal vein catheterization, which can be used as an alternative to percutaneous transhepatic portal vein catheterization. It is especially suitable for hepatic portal vein occlusion and portal vein catheterization patient.