论文部分内容阅读
目的 :研究部分性脾动脉栓塞对脾功能亢进的介入性放射学治疗 ,以致改善脾功能亢进的外周血象。材料与方法 :对 14例临床诊断为脾功能亢进的患者 ,经股动脉穿刺行部分性脾动脉栓塞术 ,栓塞剂为 0号医用丝线 ,剪成 2cm～ 3cm长的线段 ,部分辅以明胶海绵条。结果 :14例患者PSE术后均有程度不同的发热、腹痛、恶心、呕吐等栓塞后综合症 ,经对症治疗后均缓解、消失 ,2 4小时～ 1周开始白细胞 ,血小板计数明显升高。结论 :栓塞面积控制在 4 0 %～ 70 %之间可较好的改善脾功能亢进患者的外周血象 ,减少栓塞后严重并发症的发生 ,是脾功能亢进的首选治疗手段。
Objective: To study the interventional radiotherapy of partial splenic arterial embolization to hypersplenism so as to improve the peripheral blood picture of hypersplenism. Materials and Methods: Fourteen patients with clinically diagnosed hypersplenism were treated with partial splenic arterial embolization through the femoral artery puncture. The embolization agent was No. 0 medical thread, cut into 2cm ~ 3cm long segment, partially supplemented with gelatin sponge Article. Results: After PSE, all 14 patients had different degrees of fever, abdominal pain, nausea, vomiting and other post - embolism syndromes. After symptomatic treatment, all the patients had edema and disappeared. The white blood cells increased significantly from 24 hours to 1 week. Conclusion: The control of embolization area between 40% and 70% can better improve the peripheral blood of patients with hypersplenism and reduce the incidence of serious complications after embolization. It is the first choice for treatment of hypersplenism.