J4 ›› 2016, Vol. 1 ›› Issue (4): 71-73.

• 临床医学 • 上一篇    下一篇

使用无水乙醇作为栓塞材料介入治疗脾功能亢进的疗效

  

  1. (大理大学昆明附属医院,昆明650011)
  • 收稿日期:2015-09-22 出版日期:2016-04-15 发布日期:2016-04-15
  • 作者简介:汪永平,副主任医师,主要从事影像诊断和介入放射诊疗研究.

Effect of Interventional Treatment for Hypersplenism with Ethanol as the Embolization Material

  1. (Affiliated Hospital of Dali University in Kunming, Kunming 650011, China)
  • Received:2015-09-22 Online:2016-04-15 Published:2016-04-15

摘要:

目的:观察使用无水乙醇作为栓塞材料行部分脾栓塞术(PSE)治疗脾功能亢进的效果、并发症。方法:使用无水乙
醇作为栓塞材料行PSE治疗肝硬化门脉高压性脾功能亢进32例,分别试用无水乙醇2.0 mL 4例、2.5 mL 4例、3.0 mL 3例,之
后21例全部采用2.5 mL,分析疗效、并发症、质控效果。结果:32例PSE一次成功,使用无水乙醇2.5 mL栓塞范围较适宜
(栓塞部分平均513 mL,约61%)、不良反应较轻、并发症较少,无脾感染发生;随访期无复发病例。结论:PSE使用无水乙醇
2.5 mL固定量栓塞法治疗脾亢效果满意、副反应轻,并发症较少,方法简单、费用低。

关键词: 脾功能亢进, 部分脾栓塞术, 无水乙醇

Abstract:

Objective: To observe the therapeutic effect and complications of Partial Splenic Embolization(PSE)in the treatment of
hypersplenism with ethanol as the embolization material. Methods: Ethanol, as an embolization material, was used in the treatment of
32 cases of cirrhosis portal hypertension with PSE with 2.0 mL ethanol for 4 cases, 2.5 mL for 4 cases, 3.0 mL for 3 cases, 2.5 mL for
the rest 21 cases. Efficacy, complications, and quality control effect were analyzed among all cases. Results: 32 cases of PSE were
successful for the first time. The use of 2.5 mL ethanol embolization was more appropriate(average 513 mL, about area 61%)with
less adverse reactions, fewer complications, and no splenic infection. Conclusion: PSE reached a satisfied result using the 2.5 mL
fixed amount of ethanol to treat the hypersplenism with mild side reaction, few complications, simple process and low cost.

Key words: hypersplenism, Partial Splenic Embolization, ethanol

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