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本文报告用部分脾栓塞术替代外科切脾术治疗16例肝硬化脾功能亢进的病人,以达到纠正脾亢,降低门脉压,改善肝功能,又不影响机体免疫功能的目的. 16例肝硬化均经肝组织活检证实,PSE前有脾肿大(B超示脾面积110.5±32cm~2),外周血象及骨髓象均提示脾功能亢进.经皮股动脉穿刺,将自制双螺旋导管超选择插入脾动脉,经导管注入一定数量的明胶海棉小粒至脾动脉的3～4级分支,PSE前后分别作脾动脉造影,伴门脉高压者经股静脉插管测定WHVP.
This article reports the use of partial splenic embolization instead of surgical splenectomy in the treatment of 16 patients with liver cirrhosis and hypersplenism in order to achieve the purpose of correcting hypersplenism, reducing portal pressure, improving liver function, without affecting the body’s immune function .16 cases of liver Sclerosis were confirmed by liver biopsy, splenomegaly before PSE (B ultrasound showed splenic area 110.5 ± 32cm ~ 2), peripheral blood and bone marrow were prompted hypersplenism.Percutaneous femoral artery puncture, self-made double helix catheter super Choose to insert the splenic artery, a certain number of catheterized gelatin sponge granule to the splenic artery of the 3 to 4 branches, before and after PSE for splenic artery angiography, with portal hypertension measured by femoral vein WHVP.