中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2011年
4期
283-284
,共2页
脾动脉栓塞%脾功能亢进%脾切除术
脾動脈栓塞%脾功能亢進%脾切除術
비동맥전새%비공능항진%비절제술
Splenic arterial emholization%Hypersplenism%Splenectomy
目的 探讨脾动脉栓塞术的效果以及脾动脉栓塞术后脾切除的手术方法及经验.方法 对2001年1月至2008年12月51例脾动脉栓塞术后12例脾亢复发再行脾切除进行回顾总结.结果 12例脾切除均获得成功,手术时间90～240 min,平均输血810ml,1例术后胰漏,引流4周后治愈,1例术后14个月发生上消化道出血行肠腔分流.结论 脾动脉栓塞应严格掌握适应证,栓塞术后再行脾切除术难度大.
目的 探討脾動脈栓塞術的效果以及脾動脈栓塞術後脾切除的手術方法及經驗.方法 對2001年1月至2008年12月51例脾動脈栓塞術後12例脾亢複髮再行脾切除進行迴顧總結.結果 12例脾切除均穫得成功,手術時間90～240 min,平均輸血810ml,1例術後胰漏,引流4週後治愈,1例術後14箇月髮生上消化道齣血行腸腔分流.結論 脾動脈栓塞應嚴格掌握適應證,栓塞術後再行脾切除術難度大.
목적 탐토비동맥전새술적효과이급비동맥전새술후비절제적수술방법급경험.방법 대2001년1월지2008년12월51례비동맥전새술후12례비항복발재행비절제진행회고총결.결과 12례비절제균획득성공,수술시간90～240 min,평균수혈810ml,1례술후이루,인류4주후치유,1례술후14개월발생상소화도출혈행장강분류.결론 비동맥전새응엄격장악괄응증,전새술후재행비절제술난도대.
Objective To study the Results of splenectomy for recurrent hypersplenism after splenic arterial embolization. Methods A retrospective analysis was carried on 12 p1atients who underwent splenectomy for recurrent hypersplenism after splenic arterial embolization which had been carried out in 51 patients at this hospital from Jan. 2001 to Dec. 2008. Results Splenectomy was successfully carried out in all the 12 patients. The operative time ranged from 90 to 240 minutes. The mean blood transfusion was 810 ml. There was 1 case of pancreatic leakage after the operation, which healed with drainage for 4 weeks. One patient developed upper gastrointestinal hemorrhage 14 months after the operation, and he received a meso-caval shunt. Conclusion We should select patients carefully for splenic arterial embolization as splenectomy after splenic arterial embolization is difficult.
