周晓初 汤绍涛 阮庆兰 张寿熙 430022 武汉，同济医科大学附属协和医院小儿外科(周晓初、汤绍涛、阮庆兰)，外科(张寿熙) 中华小儿外科杂志 1998 0 19 3


    关键词：脾疾病；栓塞；治疗性 期刊 zhxrwkzz 0 临床研究 fur -->


    

摘要 目的：总结部分脾栓塞治疗儿童脾功能亢进的长期效果。方法：17例脾功能亢进患儿施行了部分脾栓塞，全部病例随访5～6年。结果：栓塞后第3天内，患儿白细胞及血小板计数显著升高，在随访的6年期间血小板及白细胞计数仍维持在正常范围，且脾脏亦显著地缩小。结论：部分脾栓塞是替代脾切除治疗儿童脾功能亢进的有效方法。

    Long Term Efficacyof Partial Splenic Embolization in Children

Zhou Xiaochu, Tang Shaotao, RuanQinglan,et al. Department of Pediatric Surgery,

    Xiehe Hospital, Tongji University, Wuhan 430022

Abstract Objective: To evaluate the long-term efficacyof partial splenic embolization(PSE) in children with hypersplenism. Methods: Seventeenchildren with hypersplenism underwent PSE and followed-up for 60-72 months. Results: Therewas significant elevation of both platelets and leukocyte counts three days after the embolization. The platelet and leukocyte levels remained normal during the follow-upperiod. The size of spleen decreased obviously in all the children. Conclusion: PSE is afeasible alternative to total splenectomy as a treatment of hypersplenism in children.

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