| 脾脏射频消融治疗门静脉高压症脾功能亢进的研究进展 |
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| 引用本文： | 潘云祥 综述,文艳玲 审校.脾脏射频消融治疗门静脉高压症脾功能亢进的研究进展[J].中国介入影像与治疗学,2008,5(2):160-162. |
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| 作者姓名： | 潘云祥 综述 文艳玲 审校 |
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| 作者单位： | 中山大学附属第二医院超声科,广东,广州,510120 |
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| 摘 要： | 脾脏射频消融（RFA）是一种新兴的治疗脾亢的保脾治疗方法。RFA通过局部热效应引起脾脏组织凝固性坏死、周围组织血栓性梗死引起的＂旁观者效应＂以及热能沉积导致的＂残脾实性变＂等效应,能够有效的毁损脾脏组织,达到减小脾脏体积、纠正脾亢和保留脾脏生理机能的目的。虽然脾脏RFA治疗脾亢是一种安全、可行的治疗方法,但影响其疗效的因素较多,有待进一步研究。
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| 关 键 词： | 脾脏功能亢进 门静脉高压 导管消融 |
| 文章编号： | 1672-8475(2008)02-0160-03 |
| 收稿时间： | 2007/11/26 0:00:00 |
| 修稿时间： | 2007年11月26 |
Progress of spleen radiofrequency ablation in hypersplenism due to portal hypertension |
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| PAN Yun-xiang and WEN Yan-ling.Progress of spleen radiofrequency ablation in hypersplenism due to portal hypertension[J].Chinese Journal of Interventional Imaging and Therapy,2008,5(2):160-162. |
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| Authors: | PAN Yun-xiang and WEN Yan-ling |
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| Institution: | Department of Ultrasound, the Second Affiliated Hospital of Sun Yat-sen University, Guangzhou 510120, China;Department of Ultrasound, the Second Affiliated Hospital of Sun Yat-sen University, Guangzhou 510120, China |
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| Abstract: | Radiofrequency ablation (RFA) of spleen is a new spleen-preserving technique for hypersplenism. Due to thermal deposition, RFA can effectively reduce the splenic volume by several effects, such as coagulative necrosis, peripheral thrombotic infarction ("bystander effect") and subsequent "splenic carnification", ect. After RFA, the remnant spleen shrinks, hypersplenism can be corrected, and physiological function of spleen can be reserved. It is feasible and safe to perform RFA in spleen. However, many factors can influence the therapeutic effect and further study is needed. |
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| Keywords: | Hypersplenism Portal hypertension Catheter ablation |
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