CAJ | 학술논문

目的：探讨部分脾动脉栓塞在肝硬化脾功能亢进治疗中的疗效及临床意义。方法选择47例肝硬化脾功能亢进患者，采用Seldinger技术用PVA微粒行脾动脉部分栓塞术，并观察术前、术后血象变化。结果47例患者术后1个月、3个月复查，随访3年：外周血白细胞、血小板较术前明显升高；红细胞较前大致相仿。结论部分脾动脉栓塞术治疗脾功能亢进疗效好，并发症少，值得临床运用。
목적：탐토부분비동맥전새재간경화비공능항진치료중적료효급림상의의。방법선택47례간경화비공능항진환자，채용Seldinger기술용PVA미립행비동맥부분전새술，병관찰술전、술후혈상변화。결과47례환자술후1개월、3개월복사，수방3년：외주혈백세포、혈소판교술전명현승고；홍세포교전대치상방。결론부분비동맥전새술치료비공능항진료효호，병발증소，치득림상운용。
Objective To discuss partial splenic artery embolization in cirrhosis of the liver and spleen hyper-function therapy and clinical significance. Methods Forty-seven patients with cirrhosis of the liver and spleen hy-perfunction underwent splenic artery embolization using Seldinger technique with PVA particles line, and the preoper-ative and postoperative hemogram were observed respectively. Results Review of 47 patients after 1 month, 3 months and 3 years′follow-up:the number of peripheral white blood cells and platelets was improved significantly; red blood cells were roughly similar to that before. Conclusion Partial splenic artery embolization in the management of splenic hyperfunction has good curative effect, less complications,and it is worth clinical application.