| 脾动脉栓塞后脾亢复发再行脾切除术12例报告 |
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| 引用本文： | 姚惠明,陆松春.脾动脉栓塞后脾亢复发再行脾切除术12例报告[J].中华肝胆外科杂志,2011,17(4). |
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| 作者姓名： | 姚惠明 陆松春 |
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| 作者单位： | 嘉兴学院医学院附属第一医院肝胆外科,314000 |
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| 摘 要： | 目的 探讨脾动脉栓塞术的效果以及脾动脉栓塞术后脾切除的手术方法及经验.方法 对2001年1月至2008年12月51例脾动脉栓塞术后12例脾亢复发再行脾切除进行回顾总结.结果 12例脾切除均获得成功,手术时间90～240 min,平均输血810ml,1例术后胰漏,引流4周后治愈,1例术后14个月发生上消化道出血行肠腔分流.结论 脾动脉栓塞应严格掌握适应证,栓塞术后再行脾切除术难度大.Abstract：Objective To study the Results of splenectomy for recurrent hypersplenism after splenic arterial embolization. Methods A retrospective analysis was carried on 12 p1atients who underwent splenectomy for recurrent hypersplenism after splenic arterial embolization which had been carried out in 51 patients at this hospital from Jan. 2001 to Dec. 2008. Results Splenectomy was successfully carried out in all the 12 patients. The operative time ranged from 90 to 240 minutes. The mean blood transfusion was 810 ml. There was 1 case of pancreatic leakage after the operation, which healed with drainage for 4 weeks. One patient developed upper gastrointestinal hemorrhage 14 months after the operation, and he received a meso-caval shunt. Conclusion We should select patients carefully for splenic arterial embolization as splenectomy after splenic arterial embolization is difficult.
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| 关 键 词： | 脾动脉栓塞 脾功能亢进 脾切除术 |
Splenectomy for recurrent hypersplenism after splenic arterial embolization |
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| YAO Hui-ming,LU Song-chun.Splenectomy for recurrent hypersplenism after splenic arterial embolization[J].Chinese Journal of Hepatobiliary Surgery,2011,17(4). |
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| Authors: | YAO Hui-ming LU Song-chun |
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| Abstract: | Objective To study the Results of splenectomy for recurrent hypersplenism after splenic arterial embolization. Methods A retrospective analysis was carried on 12 p1atients who underwent splenectomy for recurrent hypersplenism after splenic arterial embolization which had been carried out in 51 patients at this hospital from Jan. 2001 to Dec. 2008. Results Splenectomy was successfully carried out in all the 12 patients. The operative time ranged from 90 to 240 minutes. The mean blood transfusion was 810 ml. There was 1 case of pancreatic leakage after the operation, which healed with drainage for 4 weeks. One patient developed upper gastrointestinal hemorrhage 14 months after the operation, and he received a meso-caval shunt. Conclusion We should select patients carefully for splenic arterial embolization as splenectomy after splenic arterial embolization is difficult. |
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| Keywords: | Splenic arterial emholization Hypersplenism Splenectomy |
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