CAJ | 학술논문

目的评价超选择性插管在部分脾动脉栓塞治疗中的临床意义。方法回顾性分析我院行超选择性部分脾动脉栓塞术45例，其中单纯脾功能亢进15例，原发性肝癌伴脾功能亢进22例，特发性血小板减少性紫癜5例，脾挫裂伤3例；根据脾动脉造影的表现及患者的病情，制定脾动脉栓塞的部位及范围，采用同轴导管技术进行超选择性部分脾动脉栓塞；记录术后疗效及并发症。结果所有患者均取得了满意的疗效，术后并发症少，未出现严重并发症。结论采用超选择性插管行部分脾动脉栓塞，能准确控制脾动脉栓塞位置及程度，在保证疗效的同时，明显的降低手术风险，值得临床广泛推广。
목적평개초선택성삽관재부분비동맥전새치료중적림상의의。방법회고성분석아원행초선택성부분비동맥전새술45례，기중단순비공능항진15례，원발성간암반비공능항진22례，특발성혈소판감소성자전5례，비좌렬상3례；근거비동맥조영적표현급환자적병정，제정비동맥전새적부위급범위，채용동축도관기술진행초선택성부분비동맥전새；기록술후료효급병발증。결과소유환자균취득료만의적료효，술후병발증소，미출현엄중병발증。결론채용초선택성삽관행부분비동맥전새，능준학공제비동맥전새위치급정도，재보증료효적동시，명현적강저수술풍험，치득림상엄범추엄。
Objective To evaluation of super selective intubation in clinical significance of partial splenic artery emboli-zation.Methods Retrospective analysis of line of super selective partial splenic artery embolization 45 cases, simply spleen hy-perthyroidism in 15 cases, 22 cases of primary liver cancer with the spleen hyperthyroidism, idiopathic thrombocytopenic purpura in 5 cases, spleen laceration 3 cases;according to the splenic artery angiography performance and condition of the patient, the de-velopment of the site of splenic artery embolization and scope, adopts coaxial catheter technique for selective partial splenic artery embolization;record the postoperative curative effect and complications.Results All patients achieved satisfactory results, less postoperative complications, does not appear serious complications.Conclusion Line is made of super selective intubation partial splenic artery embolization, Can accurately control the position and extent of the splenic artery embolization, In ensuring the effica-cy, while significantly reducing the risk of surgery, Is worth clinical popularizing widely.