脾动脉部分栓塞治疗脾功能亢进的临床处理探讨

目的:探讨脾动脉部分栓塞治疗脾功能亢进的临床处理.方法:23例脾功能亢进患者均经皮穿刺行脾动脉分支栓塞治疗,并注意栓塞的范围及预防并发症的发生.结果:23例患者中22例血细胞成分均有不同程度回升或恢复正常,无1例患者出现严重并发症或死亡.结论:脾动脉部分栓塞治疗脾功能亢进是行之有效的方法,注意脾脏栓塞的范围,预防性抗感染治疗,控制腹胀,治疗腹水,加强保肝治疗及其它对症处理,可有效预防并发症的发生.

CLINICAL INVESTIGATION ON TREATMENT OF HYPERSPLENISM WITH PARTIAL SPLENIC ARTERY EMBOLIZATION

Objective:To study the clinical treatment of hypersplenism with partial splenic artery embolization.Methods:Embolization of splenic artery branches was performed in 23 patients with hypersplenism.Special attention was paid to the range of embolization and prevented the occurrence of complication.Results:The blood cell in 22 patients out of the 23 cases was increased or revived.There was no clinical complication or death.Conclusion:Partial splenic artery embolization is an effective procedure for patients with hypersplenism.But special attention should be paid to the extent of embolization,preventing anti-infection,controlling abdominal distention,controlling ascites,enhancing treatment of liver function and treatment for palliating symptom could effectively prevent complication.