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目的探讨脾动脉主干经导管栓塞术对肝硬化患者脾动脉盗血综合征的治疗效果。方法对2014年1月至2015年9月收治的52例肝硬化同时合并有脾动脉盗血综合征的临床患者进行研究。对所有选中病例均进行脾动脉主干经导管栓塞术治疗,同时,在术前术后对患者的肝功能分级、脾功能亢进程度等数据进行测量,比较术前术后患者肝功能改善的情况。结果术后3、6个月检测提示,患者的ChildPugh分级、脾功能亢进程度分级情况术后均有不同程度缓解,比较差异有统计学意义(P<0.05)。结论对肝硬化合并脾动脉盗血综合征的患者进行经导管脾动脉主干栓塞术治疗,能有效改善脾动脉盗血综合征表现,并发症少,值得临床推广。
Objective To investigate the treatment of splenic artery steal syndrome in patients with liver cirrhosis by transcatheter embolization of the splenic artery. Methods From January 2014 to September 2015, 52 cases of patients with cirrhosis complicated with splenic artery steal syndrome were studied. All the selected cases were treated by catheter embolization of the splenic artery. At the same time, the data of liver function grading and hypersplenism were measured preoperatively and postoperatively to compare the improvement of liver function. Results The results of 3 and 6 months postoperatively showed that the Child Pugh classification and the grade of hypersplenism were all relieved in varying degrees after operation, with significant difference (P <0.05). Conclusions The treatment of hepatic cirrhosis combined with splenic artery steal syndrome by transcatheter arterial embolization can effectively improve the performance of splenic artery steal syndrome with few complications and is worthy of clinical promotion.