脾动脉栓塞治疗外伤性脾破裂

目的 总结脾动脉栓塞术治疗外伤性脾破裂的临床经验。方法采用Seldinger法股动脉穿刺入路行脾动脉栓塞。结果所有病人出血立即停止，其中4例行2次栓塞。28例均有脾区疼痛，发热22例。脾动脉栓塞5天后血小板、白细胞上升近l倍，7天后恢复至正常范围。28例随访6～36个月，查免疫球蛋白、CT等结果满意，未有再出血及OPSI发生。结论脾动脉栓塞具有良好的止血作用，使患避免手术切脾，并能保留脾脏的免疫功能，是治疗外伤性脾破裂的一种有效治疗方法。

Splenic Arterial Embolization in Treatment of Splenic Injury

Objective To summarize the experience in the treatment of splenic rupturewith splenic arterial embolization (SAE) Methods 28 cases of splenic injury underwent normal seldinger method for SAE. Results All cases were cured.Four of them were embolized two times. The major complications included fever (22 cases), left upper abdominal pain (28 cases). Blood plateles and WBC increased nearly once as much five days after SAE.On the seventh day they became normal. 28 patients were followed up for 6 months to 3 years with detection of inmunglobin, CT. The results were satisfactory without overwhelming postsplenectomy infection (OPSI) and bleeding again.Conclusion SAE may be exempt from plenectomy and retain splenic inmunity as well.It is a relatively safe procedure and a highly effective means in the theatment of splenic rupture.