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部分性脾栓塞术的临床应用
引用本文:任伟新,玄祖旗,陈鹏,贺晓晔,刘晓,孙绪荣.部分性脾栓塞术的临床应用[J].新疆医科大学学报,1996(3).
作者姓名:任伟新  玄祖旗  陈鹏  贺晓晔  刘晓  孙绪荣
作者单位:新疆医学院第一附属医院DSA室
摘    要:通过对20例肝硬化脾机能亢进的部分性脾动脉栓塞术 PSE治疗分析,认为:(1)超选择脾动脉是PSE成功的关键,以 RH管成功率高.(2)栓塞面积,单纯改善脾机能亢进,栓塞面积30%~40%为宜.既改善脾机能亢进,又降低门脉压力,栓塞面积60%~80%为宜.(3)部分性脾栓塞对降低门脉压力有一定的作用,但降压作用有限.

关 键 词:脾机能元进  栓塞治疗  部分性脾栓塞术

The Clinical Applation of Partial Splenic Embolization
Ren Weixin,Xuan Zuqi,Cheng Peng,et al.The Clinical Applation of Partial Splenic Embolization[J].Journal of Xinjiang Medical University,1996(3).
Authors:Ren Weixin  Xuan Zuqi  Cheng Peng  
Institution:Ren Weixin,Xuan Zuqi,Cheng Peng,et alDepartment of DSA,First Affiiated Hospital Xinjiang Medical College
Abstract:The authors analyed the results of partial splenic embolization (PSE) therapy on 20 cases with liver virrhosis complicating hypersplenism and discussed the embolization technique, area and effec of reducing portal hypertension with PSE. We considered:Supper selection of splenic artery was the key of success,using RH catherter has higher success rate. The 30%~ 40% embolization area could only improve hypersplenism and the 60%~80% embolization area could improve hypertension as well. We found that PSE could reduce portal hypertension, but it was temporal and limited.
Keywords:hypersplenism  embolization  partial splenic embolization(PSE)
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