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目的使用不同栓塞材料进行PSE的疗教评价。材料和方法各种原因所致脾亢患者55例,男性41例,女性14例,其中肝硬化门静脉高压症42例(并合肝癌25例),肝移植术后3例,布加综合症2例,原发性血小板紫癜6例,干燥综合症2例。使用弹簧圈、PVA颗粒及明胶海绵颗粒进行PSE,观察术后脾脏栓塞程度,对血常规、肝功能的影响,术后并发症的发生率等。结果术后白细胞、血小板、红细胞均有明显改善。1个月左右复查门静脉内径缩小:脾脏大小不同程度缩小。术后无严重并发症发生。结论部分脾动脉栓塞是治疗脾功能亢进安全有效的方法,单纯使用弹簧圈栓塞治疗与颗粒栓塞比较,疗效无明显差异,患者术后反应较轻,易于接受。
Objective To evaluate PSE treatment using different embolic materials. Materials and Methods 55 cases of hypersplenism caused by various reasons, 41 males and 14 females, of which 42 cases of liver cirrhosis and portal hypertension (combined with liver cancer in 25 cases), liver transplantation in 3 cases, Budd-Chiari syndrome 2 Cases, 6 cases of primary platelet purpura, Sjogren’s syndrome in 2 cases. The use of coil, PVA particles and gelatin sponge particles PSE, to observe the degree of postoperative splenic embolization, blood, liver function, the incidence of postoperative complications. Results postoperative leukocytes, platelets, red blood cells were significantly improved. About 1 month to review the portal vein diameter reduced: the size of the spleen reduced to varying degrees. No serious postoperative complications occurred. Conclusions Some splenic arterial embolization is a safe and effective method for the treatment of hypersplenism. There is no significant difference in curative effect between simple coil embolization and granular embolization. The postoperative reaction is mild and easy to accept.