儿童巨脾症的部分性脾栓塞治疗

目的 探讨儿童巨脾症部分性脾栓塞的安全治疗方案。方法 应用分阶段栓塞法治疗42例巨大脾脏患儿，年龄1～15岁。首次脾栓塞范围约30％～40％，间隔1～2个月再次栓塞脾脏30％～40％，实现缩小脾脏，消除和改善脾功能亢进以及基础疾病症状。结果 本组病例经分次脾栓塞治疗术后脾亢及相应基础疾病症状得到有效控制，术后反应轻，发热和腹痛持续时间短，仅1例发生脾脓肿。结论 儿童巨脾症，通过分阶段进行部分脾栓塞治疗更加安全、有效。

Treatment of children spleenomegaly by partial splenic embolization

Objective To investigate the safety treatment of partially embolizing spleenomegaly in children. Methods Forty two children aged 1-15 with spleenomegaly were treated through staged partial splenic embolization (PSE). The first embolized scope of spleen was 30%-40% with the second being 30%-40% at 1 or 2 months later in order to achieve the goal of getting rid of hypersplenia and improving the splenic function. Results The adverse effects of splenic embolisation were slight with short duration of fever and stomachache and with efficient control of hypersplenia and its correlative basic diseases except one case of splenic abscess.Conclusions Spleenomegaly in Children can be more safely and more efficiently cured through staged PSE.