中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

部分脾动脉栓塞术对肝硬化门静脉高压症血流动力学的影响

段立伟 孙寒 陈永胜 田月丽 李东复

引用本文:
Citation:

部分脾动脉栓塞术对肝硬化门静脉高压症血流动力学的影响

详细信息
  • 中图分类号: R575.2

Hemodynamic effects of partial splenic artery embolization in patients with liver cirrhosis and portal hypertension

  • 摘要:

    目的探讨部分脾动脉栓塞术(PSE)治疗肝硬化门静脉高压症的临床疗效及应用价值。方法 23例不同原因肝硬化门静脉高压患者行PSE治疗,PSE术前及术后1周、1、3、6个月彩色多普勒分别检测患者门静脉和脾静脉的内径、血流速度,计算血流量,并与PSE术前配对分析。结果术后各期患者脾静脉、门静脉血流速度及血流量较术前降低(P<0.05);脾静脉内径术后各期与术前相比明显缩小(P<0.05);而门静脉主干内径术后6个月内缩小不明显(p>0.05)。结论 PSE能有效的降低门静脉压力。

     

  • [1] Chinese Society of Hepatology and Chinese Society of Infec-tious Diseases, Chinese Medical Association.The guidelineof prevention and treatment for chronic hepatitis B[J].ChinJ Hepatol, 2005, 13 (12) :881-891. (in Chinese) 中华医学会肝病学分会、中华医学会感染病学分会.慢性乙型肝炎防治指南[J].临床肝胆病杂志, 2006, 22 (1) :3-15.
    [2]Chinese Society of Hepatology, Chinese Society of InfectiousDiseases and Parasitology, Chinese Medical Association.The guideline of prevention and treatment for hepatitis C[J].Chin J Infect Dis, 2004, 22 (4) :131-136. (in Chinese) 中华医学会肝病学分会、中华医学会传染病与寄生虫病学分会.丙型肝炎防治指南[J].临床肝胆病杂志, 2004, 20 (4) :197-203.
    [3] Fatty Liver and Alcoholic Liver Diseases Study Group of Chi-nese Liver Disease Association.Diagnostic criteria of alcohol-ic liver disease[J].Chin J Hepatol, 2003, 11 (2) , 72-76. (in Chinese) 中华医学会肝病学分会脂肪肝和酒精性肝病学组.酒精性肝病诊断标准[J].临床肝胆病杂志, 2010, 26 (3) :229-232.
    [4]Liu MT, Han GH, Wang JH, et al.A study on the relation-ship between portal vein pressure and portal hemodynamicsin patients with portal hypertension of cirrhosis[J].Chin JHepatol, 2004, 12 (8) :504-505. (in Chinese) 刘明涛, 韩国宏, 王建宏, 等.肝硬化门静脉高压患者门静脉压力与血流动力学的关系[J].中华肝脏病杂志, 2004, 12 (8) :504-505.
    [5]Spigos DG, Jonasson O, Mozes M, et al.Partial splenicembolization in the treatment of hypersplenism[J].Am JRoentgenol, 1979, 132 (5) :777-782.
    [6]Amin MA, el-Gendy MM, Dawoud IE, et al.Partial splenicembolization versus splenectomy for the management of hy-persplenism in cirrhotic patients[J].World J Surg, 2009, 33 (8) :1702-1710.
    [7]Ohmoto K, Yoshioka N, Tomiyama Y, et al.Improved progno-sis of cirrhosis patients with esophageal varices and thrombocy-topenia treated by endoscopic variceal ligation plus partial splen-ic embolization[J].Dig Dis Sci, 2006, 51 (2) :352-358.
    [8]Zhang XY, Geng HJ, Wang BC, et al.The long-term hemo-dynamic changes of liver and spleen after partial splenic em-bolization for portal hypertension due to cirrhosis[J].J Inter-ventronal Radiol, 2009, 18 (8) :584-587. (in Chinese) 张新元, 耿惠杰, 王宝才, 等.部分脾栓塞术治疗肝硬化门脉高压症肝、脾血流动力学远期变化[J].介入放射学杂志, 2009, 18 (8) :584-587.
    [9]Palsson B, Hallen M, Forsberg AM, et al.Partial splenicembolization:long-term outcome[J].Langenbecks ArchSurg, 2003, 387 (11-12) :421-426.
    [10]Han MJ, Zhao HG, Ren K, et al.Partial splenic embolizationfor hypersplenism concomitant with or after arterial emboliza-tion of hepatocellular carcinoma in 30 patients[J].Cardio-vasc Intervent Radiol, 1997, 20 (2) :125-127.
    [11]Li ZR, Dan H, Zhu KS, et al.Clinical quantitative study oftherapeutic effect of partial splenic embolization (PSE) onportal vein hemodynamics[J].Chin J Radiol, 2002, 36 (10) :913-917. (in Chinese) 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]Yin XY, Lv MD, Huang JF, et al.Change of portal hemody-namics in cirrhotics with portal hypertension and its implica-tions in esophageal variceal bleeding[J].Chin J Ultrasonog-raphy, 2000, 9 (6) :325-328. (in Chinese) 殷晓煜, 吕明德, 黄洁夫, 等.肝硬化门脉高压症门脉血流动力学变化及其与食管静脉曲张出血的关系[J].中华超声影像学杂志, 2000, 9 (6) :325-328.
    [13]崔俊, 韩铭均, 任克, 等.脾部分性栓塞的质量控制及门脉血流动力学变化[J].世界华人消化杂志, 2000, 8 (7) :839-840.
    [14]Porter BA, Frey CF, Link DP, et al.Splenic embolizationmonitored by the vide dilution technique[J].Am J Roen-tynol, 1983, 141 (5) :1063-1065.
    [15]程海军, 蔡和伦.部分脾动脉栓塞治疗肝硬化门静脉高压和脾功能亢进43例[J].临床荟萃, 2010, 25 (18) :1609-1610.
    [16]Yu CH, Huang CC, Zhang ZH.Effect of partial splenic embo-lization in prevention of gastroesophageal variceal rebleeding[J].J South Med Univ, 2010, 30 (5) :1138-1140. (inChinese) 黄纯炽, 张振书, 于长辉.部分脾动脉栓塞术预防肝硬化食管胃底静脉曲张再出血的临床评价[J].南方医科大学学报, 2010, 30 (5) :1138-1140.
    [17]孙大裕, 朱宝荣, 陆玮, 等.脾栓塞术治疗肝硬化并发脾功能亢进[J].中华消化杂志, 1984, 4 (3) :144-146.
    [18]Xuan ZQ, Yang RJ, liu GJ, et al.Partial splenic embolizationtreatment in patients with portal hypertension and hyper-splenism[J].Radiologic Pract, 1997, 12 (3) :102-104. (in Chinese) 玄祖旗, 杨仁杰, 刘庚军, 等.肝硬化门脉高压脾功能亢进的部分栓塞治疗[J].放射学实践, 1997, 12 (3) :102-104.
    [19]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.
    [20]Li L, Zeng Z, Yin B.Partial splenic embolization for liver cirrho-sis accompanied by hypersplenism:an analysis of 39 cases[J].World Chin J Dig, 2007, 15 (11) :1297-1301. (in Chinese) 李璐, 曾争, 尹彪.部分脾动脉栓塞术治疗肝硬化脾功能亢进39例[J].世界华人消化杂志, 2007, 15 (11) :1297-1301.
  • 加载中
计量
  • 文章访问数:  2531
  • HTML全文浏览量:  23
  • PDF下载量:  665
  • 被引次数: 0
出版历程
  • 出版日期:  2013-02-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回