部分脾栓塞治疗脾亢的现状

王刚刚; 倪才方

部分脾栓塞治疗脾亢的现状

苏州大学附属第一医院介入科

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中图分类号: R575.2
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出版历程
- 出版日期: 2012-02-20

The present condition of partial splenic embolization in the treatment of hypersplensim

摘要

摘要: <正>脾功能亢进(hypersplenism)是一种发生于各种原因的常见病,临床表现为脾肿大,一种或多种血细胞减少,而骨髓造血细胞相应增生,脾切除后可恢复的一组综合征。在我国主要以肝炎后肝硬化门脉高压、造血系统疾病导致脾功能亢进为主。临床上曾用脾切除术治疗内科治疗无效的脾功能亢进,但是脾切除术往往伴有机体免疫功能下降,易并发感染和出血。
- 脾功能亢进 /
- 部分脾栓塞术
- hypersplensim /
- partial splenic embolization

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参考文献(28)

[1]Maddison FE.Embolic therapy of hypersplenism[J].InvestRadiology, 1973, 8 (3) :280-286.

[2]Sockrider CS, Boykin KN, Green J, et al.Partial splenic em-bolization for hypersplenism after liver transplantation[J].Transplant Proc, 2001, 33:3472-3473.

[3]欧阳强, 肖湘生, 董伟华, 等.部分性脾栓塞治疗肝癌患者脾功能亢进的疗效观察[J].介入放学杂志》, 2003, 12 (4) 273-275.

[4]Xu RY, Liu B, Lin N.Therapeutic effects of endoscopic varicealligation combined with partial splenic embolization for portal hy-pertension[J].World J Gastroenterol, 2004, 10 (7) :1072-1074.

[5]Campbell R, Marik PE.Severe autoimmune hemolytic ane-mia treated by paralysis, induced hypothermia, and splenicembolization.[J].Chest, 2005, 127 (2) :678-681.

[6]Palsson B, Hallen M, Forsberg AM, et al.Partial splenicembolization:long-term outcome[J].Langenbecks ArchSurg, 2003, 387 (11-12) :421-426.

[7]Tajiri T, Onda M, Yoshida H, et al.Long-term hematologi-cal and biochemical effects of partial splenic embolizatioin inhepatic cirrhosis[J].Hepatogastroenterology, 2002, 49 (47) :1445-1448.

[8]Rios R, Sangro B, Herrero I, et al.The role of thrombopoie-tin in the thrombocytopenia of patients with liver cirrhosis[J].Am J Gastroenterol, 2005, 100 (6) :1311-1316.

[9]Hidaka H, Kokubu S, Saigenji K, et al.Restoration of throm-bopoietin production after partial splenic embolization leads toresolution of thrombocytopenia in liver cirrhosis[J].HepatolRes, 2002, 23 (4) :265-273.

[10]Lee CM, Leung TK, Wang HJ, et al.Evaluation of the effectof partial splenic embolization on platelet values for liver cir-rhosis patients with thrombocytopenia[J].World J Gastro-enterol, 2007, 13 (4) :619-22.

[11]李征然, 单鸿, 朱康顺, 等.部分性脾栓塞术改变门脉血流动力学的定量研究[J].中华放射学杂志, 2002, 36 (10) :913-917.

[12]秦建平, 蒋明德, 徐辉, 等.部分脾栓塞术治疗肝硬化门脉高压症的临床研究[J].华西医学, 2007, 22 (1) :42-43.

[13]朱莉, 李明, 金满春, 等.部分脾栓塞术对肝硬化患者门静脉血流动力学的影响[J].南通大学学报 (医学版) , 2010, 30 (2) :124-125.

[14]Hidaka H, Kokubu S, Saigenji K, et al.Restoration of throm-bopoietin production after partial splenic embolization leads toresolution of thrombocytopenia in liver cirrhosis[J].HepatolRes, 2002, 23 (4) :265-273.

[15]皮剑, 林万隆, 倪克操.脾功能亢进介入治疗进展[J].世界感染杂志, 2008, 8 (6) :401-406.

[16]Shimizu H, Takatsuka K, Yoshida A, et al.Partial splenicembolization reverses insulin resistance in patients with livercirrhosis[J].Intern Med, 2009, 48 (10) :747-751.

[17]Quintini C, D, Amico G, Brown C, et al.Splenic artery em-bolization for the treatment of refractory ascites after livertransplantation[J]Liver Transpl, 2011, 17 (6) :668-673.

[18]Koconis KG, Singh H, Soares G.Partial Splenic embolizationin the treatment of patients with portal hypertension:a re-view of the english language literature[J].J Vasc Interv Ra-diol, 2007, 18 (4) :463-481.

[19]N'Kontchou G, Seror O, Bourcier V, et al.Partial splenicembolization in patients with cirrhosis:efficacy, tolerance, and long-term outcome in 32 patients[J].Eur J Gastroen-terol Hepatol, 2005, 17 (2) :179-184.

[20]李小秋, 胡奎, 柴晓娜, 等.TACE及PSE联合治疗对肝癌患者肝功能及微循环状态的影响[J].实用放射学杂志, 2003, 19 (4) :349-351.

[21]朱康顺, 单鸿, 李征然, 等.PVA颗粒作为栓塞材料在部分性脾栓塞术中的应用[J].放射学杂志, 2004, 13 (1) :19-22.

[22]He XH, Li WT, Peng WJ, et al.Total embolization of the mainsplenic artery as a supplemental treatment modality for hyper-splenism[J].World J Gastroenterol, 2011, 17 (24) :2953-2957.

[23]Zhu K, Meng X, Li Z, et al.Partial splenic embolization usingpolyvinyl alcohol particles for hypersplenism in cirrhosis:aprospective randomized study[J].Eur J Radiol, 2008, 66 (1) :100-106.

[24]马立伟, 孝奇, 耿惠杰, 等.Embosphere栓塞微粒球在部分脾动脉栓塞术中应用的临床研究[J].河北医药, 2010, 32 (14) :1920-1921.

[25]Yamauchi T, Furui S, Irie T, et a1.Partial splenic emboliza-tion with Y-shaped silicone particles[J].Acta Radiol, 1994, 35 (4) :335-339.

[26]Trojanowski JQ, Harrist TJ, Athanasoulis CA, et al.Hepatic andsplenic infarctions:complications of therapeutic transcatheterembolization[J].Am J Surg, 1980, 139 (2) :272-277.

[27]Drooz AT, Lewis CA, Allen TE, et al, Quality improvementguidelines for percutaneous transcatheter embolization[J].JVasc Interv Radiol, 2003, 14 (9 Pt 2) :S237-242.

[28]王昊, 欧阳和平.脾切除术与部分性脾栓塞术治疗肝硬化脾功能亢进的比较研究[J].临床外科杂志, 2008, 16 (10) :674-675.

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