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目的：本文介绍一种检查肝脏占位病变新的检查方法———经皮穿刺脾脏门静脉造影ＣＴ（ＣＴＰＳＰ）。方法：用ＣＴ定位确定穿刺点，用２０Ｇ套管针穿刺脾脏，注射３０％Ａｎｇｉｏｇｒａｆｉｎ，每秒１ｍｌ，注药２０秒后开始ＣＴ扫描，用连续动态法，造影剂总量６０～８０ｍｌ；结果：２３例行ＣＴＰＳＰ检查，２１例显影良好，１４例均清楚地显示肝内占位病变，病灶最小５ｍｍ。２例因造影剂注入胸膜腔，肝内没有造影剂充填。注药局部有胀痛感；结论：ＣＴＰＳＰ是显示肝内占位病变的一种敏感方法。ＣＴＰＳＰ与ＣＴＡＰ相比，ＣＴＰＳＰ不用经股动脉插管；无需使用Ｘ光机和导管；可减少造影剂用量。
OBJECTIVE: This article presents a new method for examining liver space-occupying lesions-percutaneous CT splenography (CTPSP). Methods: The puncture point was determined by CT, the spleen was punctured with a 20G trocar and injected with 30% Angiografin at a rate of 1ml per second. The CT scan was started after 20 seconds of injection. The total dynamic contrast medium volume was 60-80ml. 23 cases of CTPSP examination, 21 cases of well-developed, 14 cases were clearly demonstrated intrahepatic space-occupying lesions, the smallest lesions of 5mm. 2 cases of contrast agent injection into the pleural cavity, there is no contrast agent filling in the liver. Injection painful local pain; Conclusion: CTPSP is a sensitive method to show intrahepatic space-occupying lesions. CTPSP Compared with CTAP, CTPSP without femoral artery catheter; without the use of X-ray machines and catheters; can reduce the amount of contrast medium.