Ohta M, Hashizume M, Tanoue K, Kitano S, Sugimachi K, Yasumori K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Hepatogastroenterology. 1992 Dec;39(6):529-32.
Forty-eight out of six hundred and thirty patients with portal hypertension undergoing a celiac angiography series were diagnosed as cases of splenic artery aneurysm during the period 1977-1988. The case-control study of patients with portal hypertension with splenic artery aneurysms and those without was designed to characterize the angiological features. The splenic arterial flow was assessed by measuring the radii of the splenic arteries on celiac arteriograms. In the portal hypertensive patients with splenic artery aneurysms, the splenic artery was larger (p < 0.05) and the splenic arterial flow greater (p < 0.05), and these patients were in a more hyperkinetic state, than were those with no splenic artery aneurysm. The study suggests that splenic artery aneurysms in cases of portal hypertension may be the consequence of a hyperkinetic state in the spleen.
在1977年至1988年期间，630例接受腹腔动脉造影系列检查的门静脉高压患者中，有48例被诊断为脾动脉瘤。对患有脾动脉瘤和未患脾动脉瘤的门静脉高压患者进行病例对照研究，以描述血管造影特征。通过测量腹腔动脉造影片上脾动脉的半径来评估脾动脉血流。与无脾动脉瘤的患者相比，患有脾动脉瘤的门静脉高压患者的脾动脉更大（p < 0.05），脾动脉血流也更大（p < 0.05），且这些患者处于更高动力状态。该研究表明，门静脉高压病例中的脾动脉瘤可能是脾脏高动力状态的结果。
