部分脾栓塞对肝硬化门静脉高压血流动力学影响(附24例临床观察)

董继亮; 孙洁; 丁秀和

部分脾栓塞对肝硬化门静脉高压血流动力学影响(附24例临床观察)

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中图分类号: R575.2
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出版历程
- 出版日期: 2002-06-20

Clinical observation of the effects of partial splenic embobization (PSE) on hemodynamics in 24 patients of liver cirrhosis with portal hypertention (LCPH)

摘要

摘要: 探讨部分脾栓塞术 (PSE)对肝硬化门静脉高压血流动力学的影响。 2 4例肝硬化门静脉高压患者采用PSE治疗 ,应用彩色多普勒超声仪观察门静脉高压血流动力学指标的变化并观察门静脉高压主要相关症状变化。PSE后门静脉高压血流动力学指标均降低 ,与术前比较 ,差异有显著性意义 (P <0 0 0 1) ,术后 4W与 2W比较差异无显著性 (P >0 0 5 )。PSE后与门静脉高压相关的主要症状得到改善。PSE对肝硬化门静脉高压血流动力学有重要影响 ,术后可显著降低门静脉压力 ,此对相应症状的改善有重要意义
- 脾栓塞术 /
- 肝硬化 /
- 血流动力学
Abstract: To explore the effects of PSE on hemodynamic in LCPH. 24 patients with LCPH were treated by PSE. The hemodynamic changes of patients with LCPH were evaliuated with color Doppler ultrasonography. And the changes of main clinical features which related to LCPH were investigate. The hemodynamic indexs of LCPH were all decreased significantly ( P <0 01) after PSE. But the difference was not statistically significant ( P >0 05) between four and two weeks after PSE. But the main symptoms and signs of LCPH were improved after PSE. PSE plays an important role in hemodynamics of LCPH. Portal hypertension can be decreased effectively after PSE, and its clinical features were improved.
- Splenic embolization /
- Liver cirrhosis /
- Hemodynamics

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参考文献(4)

[1]KaihoT , MiyazakiM , IinumaK , etal.Long-termprognosisofidio pathicthrombocytopenicpurpuratreatedbypartialsplenicembolization[J].NipponGekaGakkaiZasshi, 1993, 94∶383.

[2] 朱建新, 侯淑琴, 李彦豪.肝胆胰疾病介入治疗技术[M].广州:广东科技出版社, 1996, 144～149.

[3]程永德, 张正国, 陶正龙, 等.肝脾动脉双栓塞在治疗原发性肝癌中的应用[J].中华消化杂志, 1995, 2∶121～123.

[4]LinkDP , SerbertJA , GouldJ , etal.On-linemonitoringofsequentialbloodflowreducionduringsplenaicemboization[J].ActaRadiologica, 1988, 30∶101.

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