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目的探讨肝脾动脉栓塞治疗原发性肝癌合并脾功能亢进的临床疗效。方法采用Seldinger技术对12例原发性肝癌合并脾功能亢进患者行肝动脉栓塞(TACE)联合部分性脾动脉栓塞(PSE)治疗。结果所有患者术后周围血象升高,肝功能有所改善,肿瘤控制近期疗效较好,且所有病例均未出现严重并发症。结论 TACE联合PSE是治疗原发性肝癌合并脾功能亢进的一种较好的方法,具有一定的临床价值。
Objective To investigate the clinical efficacy of hepatic and splenic artery embolization in the treatment of primary hepatocellular carcinoma complicated with hypersplenism. Methods Twenty-two patients with primary liver cancer complicated with hypersplenism underwent hepatic arterial embolization (TACE) combined with partial splenic arterial embolization (PSE) using Seldinger technique. Results All patients had elevated peripheral blood, improved liver function, better curative effect of tumor control and no serious complications in all cases. Conclusion TACE combined with PSE is a good method for the treatment of primary hepatocellular carcinoma complicated with hypersplenism and has certain clinical value.