脾功能亢进的部分脾栓塞术

Partial splenic embolization in hypersplenism.

作者信息

Vazquez Estévez J, Lassaletta L, Perez-Higueras A, Utrilla J, Diez-Pardo J A

机构信息

Department of Paediatric Surgery, Children's Hospital, La Paz, Madrid, Spain.

出版信息

Acta Paediatr Scand. 1988 Jul;77(4):593-6. doi: 10.1111/j.1651-2227.1988.tb10706.x.

DOI:10.1111/j.1651-2227.1988.tb10706.x

PMID:3394514

Abstract

Four patients with portal hypertension, oesophageal varices and severe hypersplenism were treated by partial splenic embolization. All showed improvement of blood and platelet counts early in the postoperative period. Three months after embolization IgA and C3 levels increased significantly. All patients had a decrease in the incidence of variceal bleeding and this procedure provides an acceptable alternative to splenectomy.

摘要

4例门静脉高压、食管静脉曲张和严重脾功能亢进患者接受了部分脾栓塞治疗。所有患者术后早期血液和血小板计数均有改善。栓塞术后3个月，IgA和C3水平显著升高。所有患者静脉曲张出血的发生率均降低，该手术为脾切除术提供了一种可接受的替代方法。