| 部分脾动脉栓塞术治疗肝硬化门静脉高压症的临床疗效分析 |
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| 引用本文： | 宋向晖,周小民,阳光,陈炜.部分脾动脉栓塞术治疗肝硬化门静脉高压症的临床疗效分析[J].岭南现代临床外科,2009,9(2):118-119,126. |
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| 作者姓名： | 宋向晖 周小民 阳光 陈炜 |
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| 作者单位： | 510000,广州市第十二人民医院普外科 |
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| 摘 要： | 目的探讨部分脾动脉栓塞术（PSE）治疗肝硬化门静脉高压症的临床疗效。方法选取我院62例肝硬化食管胃底静脉曲张破裂出血和脾功能亢进患者。全组均行PSE，观察手术前后外周血象变化，门静脉、脾静脉管径变化及术后并发症发生情况。结果PSE术后白细胞、血小板计数高于术前（P〈0．05）；门静脉、脾静脉管径较术前缩小（P〈0．05），全组病例无严重并发症发生。结论PSE治疗肝硬化并脾功能亢进操作简便、创伤较小、疗效稳固，可以抢救和预防再出血，尤适用于高危病重、老年不适于手术治疗者，是值得临床推广和应用的手术方法。
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| 关 键 词： | 肝硬化 门静脉高压症 脾动脉栓塞术 |
Partial splenic artery embolization for the treatment of liver cirrhosis associated with hypersplenism |
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| Abstract: | Objective To investigate the efficacy of partial splenic embolization(PSE)in the treatment of patients with liver cirrhosis associated with hypersplenism.Methods 62 patients with hepaticcirrhosis associated with hypersplenism and portal hypertension received PSE therapy.The preoperative and postoperative variations of peripheral hemogram,splenic and portal vein caliber,and postoperative complications were observed.Results After PSE,leukocyte and platelet counts were higher than those before PSE(P<0.05).Sple... |
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| Keywords: | Liver cirrhosis Portal hypertension Splenic artery embolization |
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