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2000年以来,我院对42位脾亢患者行部分脾动脉栓塞(PSE)手术,效果良好,总结如下。 临床资料:42例患者,男30例,女12例,年龄23～60岁。确诊为肝炎后肝硬化(乙型失代偿期)并脾功能亢进。伴食管静脉曲张20例,少量腹水7例。B超脾厚40～69mm,平均57mm。实验室检查:42例血小板均下降(23×10~9/L～80×10~9/L),30例白细胞<4.0×10~9/L,25例红细胞<3.5×10~(12)/L。34例作骨髓穿刺涂片均提示造血细胞增生活跃。 治疗方法:充分做好术前准备。2％利多卡因局麻采用Seldinger氏股动脉穿刺插管,将导管送至腹腔动脉先行腹腔动脉造影,观察脾脏大小、血管分布、走向及脾静脉门静脉有
Since 2000, 42 patients with hypersplenism in our hospital underwent partial splenic arterial embolization (PSE) surgery, the effect is good, summarized as follows. Clinical data: 42 patients, 30 males and 12 females, aged 23 to 60 years. After diagnosis of hepatitis cirrhosis (B decompensated) and hypersplenism. With esophageal varices in 20 cases, a small amount of ascites in 7 cases. B super splenomegaly 40 ~ 69mm, an average of 57mm. Laboratory tests showed that all the 42 cases had a decrease in platelet count (23 × 10 ~ 9 / L ~ 80 × 10 ~ 9 / L), 30 white blood cells <4.0 × 10 ~ 9 / L and 25 red blood cells <3.5 × 10 ~ / L. 34 cases of bone marrow aspirate smear prompted hematopoietic cell hyperplasia. Treatment: full preoperative preparation. 2% lidocaine local anesthesia with Seldinger’s femoral artery puncture cannula, the catheter sent to the celiac artery celiac artery angiography, observation of spleen size, vascular distribution, to the splenic vein portal vein