Revillon Y, Girot R
Presse Med. 1985 Feb 16;14(7):423-5.
Splenic hyperactivity can be reduced by partial vascular disconnection of the spleen or by partial splenectomy. The first method, which preserves only one superior polar artery and the whole venous system, was used in 6 patients, and the second method, which preserves a small portion of the spleen, usually fed by an inferior polar artery, was used in 11 patients. Ultrasonographic and scintigraphic measurements of the spleen, platelet counts, transfusion quotient and 51 Cr-labelled red cell survival were used to evaluate the effects of these two methods. No immediate post-operative complication was observed.
脾功能亢进可通过部分脾血管离断术或部分脾切除术来减轻。第一种方法仅保留一条脾上极动脉和整个静脉系统,6例患者采用了该方法;第二种方法保留脾脏的一小部分,通常由脾下极动脉供血,11例患者采用了该方法。通过超声和闪烁扫描测量脾脏、血小板计数、输血指数以及51铬标记红细胞存活率来评估这两种方法的效果。术后未观察到即时并发症。