| 部分脾栓塞术的临床应用 |
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| 引用本文： | 杨熙章,吴纪瑞,杨永岩,许有进,黄淑贞,陈光辉,陆颜明. 部分脾栓塞术的临床应用[J]. 介入放射学杂志, 2001, 10(2): 89-91 |
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| 作者姓名： | 杨熙章 吴纪瑞 杨永岩 许有进 黄淑贞 陈光辉 陆颜明 |
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| 作者单位： | 福州南京军区福州总院放射科 |
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| 摘 要： | 目的：探讨部分脾栓塞术（PSE）的临床应用。方法：采用PSE治疗肝癌伴脾亢（HCC－HS）86例，其它继发性脾亢（SHS）26例，原发性血小板减少性紫癜（ITP）5例，其中20例行2次以上PSE。结果：平均栓范围HCC－HS组为36％，SHS组为60％，ITP组为74％，临床有效率分别为84．8％、88．5％、100％。HCC－HS组因单次栓塞范围较小，约20．9％（18／86）病人需行再次栓塞。全部病例均未发生严重并发症。结论PSE是安全有效，可作为外科脾切除的替代疗法，HCC－HS组为了减轻术后并发症PSE可分次进行。
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| 关 键 词： | 脾栓塞术 脾功能亢进 原发性血小板紫癜 |
| 修稿时间： | 2000-03-21 |
Clinical application of partial splenic embolization |
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| YANG Xizhang,WU Girui,YANG Yongyan,et al.. Clinical application of partial splenic embolization[J]. Journal of Interventional Radiology, 2001, 10(2): 89-91 |
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| Authors: | YANG Xizhang WU Girui YANG Yongyan et al. |
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| Affiliation: | YANG Xizhang,WU Girui,YANG Yongyan,et al. Department of Radiology,Fuzhou General Hospital,PLA. Fuzhou 350025,China |
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| Abstract: | Objective To probe the clinical application of partial splenic embolization (PSE).Methods 86 cases of hepatocellular carcinoma with hypersplenism (HCC-HS), 26 cases of secondary hypersplenism(SHS) and 5 cases of idiopathic thrombocytopenic purpura(ITP) have been treated by PSE. Results The average extents of HCC-HS, SHS and ITP embolization were 36%, 60%, 74% respectively, and the clinical effective rates were 84.8%、88.5%、100% respectively. Because of the extent of once embolization was too small in the HCC-HS group, 20.9% (18/86) patients had to be treated again by PSE. No severe complication occurred in all cases. Conclusion PSE is a safe and effective therapy, and it could take the place of surgical splenectomy under certain condition as indicated. To decrease complication of postoperative HCC-HS patients, the PSE should be carried out twice or more. |
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| Keywords: | Splenic embolization partial Hypersplenism Idiopathic thrombocytopenic purpura |
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