Wang W, Wang X, Ye B, Liu T, Huang F, Liu X, Ne W, Zhu S
Department of Radiology, Third Affiliated Hospital, Hunan Medical University, Changsha 410013.
Hunan Yi Ke Da Xue Xue Bao. 1999;24(3):267-9, 272.
Twenty-one cases of hypersplenism with portal hypertension were treated with partial splenic embolization. The results were that spleens were shrink and the condition of white blood cells, platelets, and prothrombin time of the patients were obviously improved. We conclude that the appropriate antibiotics, superselective catheterization, and the management of postoperation are necessary; the volume of embolism is limited from 50% to 75% of the spleen. This technique has the features of steady therapeutic effect, safety, and microtrauma.
对21例门静脉高压症合并脾功能亢进患者进行了部分脾栓塞治疗。结果显示脾脏缩小,患者的白细胞、血小板及凝血酶原时间状况明显改善。我们得出结论,适当的抗生素、超选择性插管及术后处理是必要的;栓塞体积限制在脾脏的50%至75%。该技术具有治疗效果稳定、安全及微创的特点。