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目的 :探讨部分性脾栓塞术 (PSE)治疗肝硬化脾功能亢进的临床价值及并发症。方法 :1 4例肝硬化脾亢患者 ,均行PSE术。结果 :1 0例患者脾亢缓解 ,外周血白细胞及血小板升至正常。最常见的并发症是腹痛 ,发热。 1 4例中 3例并发胸腔积液 ,1例同时并发脾脓肿和胸腔积液 ,1例并发腹水。结论 :PSE术能有效地缓解脾亢 ,但应注意有严重并发症发生的可能。
Objective: To investigate the clinical value and complications of partial splenic embolization (PSE) in the treatment of liver cirrhosis and hypersplenism. Methods: One hundred and forty-four patients with cirrhosis and hypersplenism were treated with PSE. Results: 10 cases of patients with hypersplenism relief, peripheral leukocytes and platelets rose to normal. The most common complication is abdominal pain and fever. In 4 cases, 3 cases complicated with pleural effusion, 1 case complicated with splenic abscess and pleural effusion, and 1 case complicated with ascites. Conclusion: PSE can effectively relieve hypersplenism, but should pay attention to the possibility of serious complications.