微导管和聚乙烯醇在部分脾栓塞中的应用
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杨怀龙, 官泳松, 何志明, 王 宏, 纪 艳
脾功能亢进;栓塞;介入治疗杨怀龙,官泳松,何志明,王宏,纪艳.微导管和聚乙烯醇在部分脾栓塞中的应用. 世界华人消化杂志2006;14(34)3284-3289脾动脉栓塞前后外周血小板及白细
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杨怀龙, 何志明, 王宏, 纪艳, 绵阳市四零四医院医学影像中心 四川省绵阳市 621000
官泳松, 四川大学华西医院放射科 四川省成都市 610041
杨怀龙, 讲师, 主治医师, 主要从事肿瘤介入、腹部介入方面的研究.
四川省卫生厅科研课题, No. 050188
通讯作者: 官泳松, 610041, 四川省成都市国学巷37号, 四川大学华西医院放射科. guanyongsong@yahoo.com.cn
电话: 028-85421008 传真: 028-85538359
收稿日期: 2006-08-22 接受日期: 2006-09-25
Application of microcatheter and polyvinyl alcohol in partial splenic embolization for hypersplenism
Huai-Long Yang, Yong-Song Guan, Zhi-Ming He, Hong Wang, Yan Ji
Huai-Long Yang, Zhi-Ming He, Hong Wang, Yan Ji, Medical Image Center, Mianyang 404 Hospital, Mianyan 621000, Sichuan Province, China
Yong-Song Guan, Department of Radiology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Correspondence to: Dr. Yong-Song Guan, West China Hospital of Sichuan University, 37 Guoxuexiang, Chengdu 610041, Sichuan Province,China. guanyongsong@yahoo.com.cn
Received: 2006-08-22 Accepted: 2006-09-25
AbstractAIM: To evaluate the efficacy of partial embolization, with superselective catheterization of arteries in the lower part of spleen, for management of hypersplenism.
METHODS: A total of 80 cirrhotic patients with hypersplenism were treated with 1 or 2 times of partial splenic embolization, with polyvinyl alcohol (PVA) particles (300-500 μm in diameter) injected into the arteries in the inferior part. The data, including symptoms and signs, blood routine, findings by computed tomography and upper gastrointestinal endoscopy, were collected before and after embolization for statistical analysis.
RESULTS: In 80 patients, embolization was performed 105 times, involving 83 times of fever lasting 3-30 days and 83 times of bellyaches (analgesics was used 26 times). Treatable hydrothorax was observed in 5 cases, and no severe complications occurred. The volume of embolization covered 40%-70% of the organ ......
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