| 脾动脉部分栓塞与脾切除治疗脾功能亢进症的疗效比较 |
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| 引用本文： | 杜品清,胡毅,卢武胜.脾动脉部分栓塞与脾切除治疗脾功能亢进症的疗效比较[J].西部医学,2011,23(10):1883-1884,1887. |
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| 作者姓名： | 杜品清 胡毅 卢武胜 |
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| 作者单位： | 1. 乐山市市中区人民医院放射介入科,四川乐山,614000
2. 四川大学华西医院肝脏及血管外科,四川成都,610041 |
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| 摘 要： | 目的通过对脾动脉部分栓塞和脾切除治疗脾大伴脾功能亢进症的疗效及并发症分析,探讨两种方法治疗脾功能亢进的优越性。方法回顾分析35例行脾动脉部分栓塞和24例行脾切除治疗的脾功能亢进患者的临床资料,将两种方法治疗后的外周血液成份（血红蛋白,白细胞,血小板）改变及并发症等进行对比分析。结果两种方法近期均能有效治疗脾功能亢进,可明显改善血小板和白细胞计数（P〈0.01）。脾切除组对血小板和白细胞的改善优于部分脾动脉栓塞组（P〈0.01）。脾动脉部分栓塞组术后并发症较脾切除组多,而脾切除组手术适应症要求较高。结论两种方法均能有效治疗脾脏功能亢进,应根据患者情况选择适合的治疗方式。
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| 关 键 词： | 脾大 脾脏功能亢进 脾动脉栓塞 脾切除 并发症 |
Clinical effect of partial splenic artery embolization and splenectomy for hypersplenism |
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| DU Pin-qing,HU Yi,LU Wu-sheng.Clinical effect of partial splenic artery embolization and splenectomy for hypersplenism[J].Medical Journal of West China,2011,23(10):1883-1884,1887. |
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| Authors: | DU Pin-qing HU Yi LU Wu-sheng |
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| Institution: | DU Pin-qing1,HU Yi1,LU Wu-sheng2(1.Leshan Red Cross Hospital,Leshan 614000,Sichuan,China,2.Department of Vascular Surgery,West China Hospital,Sichuan University,Chengdu 610041,China) |
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| Abstract: | Objective To investigate the superiority of partial splenic artery embolization and splenectomy for hypersplenism.Methods The data of 35 cases with partial splenic artery embolization and 24 cases with splenectomy was retrospectively reviewed including hemoglobin,thrombocyte,leucocyte counts and complications.Results Both methods could effectively treat hypersplenism.The postoperative thrombocyte and leucocyte counts increased markedly(P <0.01)and the increased data was significantly higher in group of sple... |
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| Keywords: | Splenomegaly Hypersplenism Splenic embolization Splenectomy Complications |
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