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本文报导１１例小儿部分脾栓塞术后声像图的改变。随术后时间的不同，声像图可发生相应变化。术后即时超声检查可在脾动脉分支内显示栓塞剂所产生的强光点；术后半月内由于脾外周实质缺血梗死、水肿、脾脏轻度再增大，外周呈低回声；１～３月后脾脏坏死组织发生机化，脾脏逐渐缩小，脾实质回声增强；一年后因脾脏纤维组织的不断增生，脾脏明显缩小，实质回声增强，脾包膜增厚不光滑，脾血管分支减少。一例术后未检测出脾脏血流者合并脾周脓肿。结果表明：部分脾栓塞术治疗小儿血液病脾功能亢进具有良好疗效，术后声象图特征与病理变化密切相关。超声检查简便易行、无损伤，有助于了解术后脾脏大小、形态及质地的变化，可作为追踪随访的可靠方法。
This article reports 11 cases of pediatric partial splenic embolization changes in the sonogram. With the different time after surgery, the sound image may change accordingly. Instant postoperative ultrasound examination showed that the embolization agent in the branch of the splenic artery produced strong light spots; half a month after the operation due to the splenic peripheral parenchymal infarction, edema, mild splenomegaly and then increased, the peripheral hypoechoic; 1 to 3 Month after spleen necrosis tissue organic, spleen gradually reduced, splenic echogenic enhancement; one year after the continuous proliferation of spleen and fibrous tissue, the spleen was significantly reduced, the real echo enhancement, thickening of the spleen capsule is not smooth, splenic blood vessels to reduce the branch. A case of splenic blood flow was not detected in patients with splenic abscess. The results showed that: partial splenic embolization for the treatment of children with hematological diseases with hypersplenism has a good effect, postoperative sonogram features and pathological changes are closely related. Ultrasonography is simple and easy to perform without any injury, which helps to understand the changes in the size, shape and texture of the spleen after surgery and can be used as a reliable method for follow-up.