Treatment of radiofrequency ablation for cirrhotic hypersplenism
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摘要: 大部分肝硬化患者合并有脾功能亢进症,表现为脾脏肿大、一种或几种血细胞(主要是血小板、白细胞)减少。传统治疗措施存在较大的局限性和/或并发症。作者在国际上率先开展的脾脏射频消融治疗脾亢的新型微创措施,本文从脾脏射频消融治疗脾亢的工作原理、治疗入路、安全性、临床疗效、提高安全性和疗效的联合脾脏射频消融的多手段治疗模式等多个角度,总结了作者近10年的实验和临床实践经验。本文可为其他单位开展该项新技术提供一定的参考价值。Abstract: A large proportion of patients with liver cirrhosis complicated with hypersplenism, shows the sign of splenomegaly, anemia, thrombocytopenia, leucopenia, or pancytopenia.Conventional treatments have some limitations and complication.The authors firstly applied a minimally invasive procedure of radiofrequency ablation for hypersplenism used worldwide.The article reviewed the experimental and clinical experiences in radiofrequency ablation for hypersplenism in terms of principle, access, safety, efficacy, and RFA-based multimodalities strategy during recent 10 years.It may provide reference for others to develop a new technology.
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Key words:
- hypersplenism /
- liver cirrhosis /
- catheter ablation
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