中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
33期
72-73
,共2页
部分脾栓塞%抗病毒%乙肝肝硬化%脾功能亢进
部分脾栓塞%抗病毒%乙肝肝硬化%脾功能亢進
부분비전새%항병독%을간간경화%비공능항진
Partial splenic embolization%Antivirus%Hepatitis B cirrhosis%Hypersplenism
目的：分析和总结部分脾栓塞联合抗病毒治疗乙肝肝硬化脾功能亢进的效果。方法：利用部分脾栓塞联合阿德福韦酯治疗60例乙肝肝硬化脾功能亢进患者，对肝功能、血常规、血病毒载量、门静脉内径、脾脏厚度以及脾静脉内径等变化情况进行监测，并随访3个月。结果：治疗后，患者的外周血细胞上升、病毒量下降、肝功能得到改善，门静脉压力降低、脾脏缩小，消化道出血减少。结论：对部分脾栓塞联合抗病毒治疗乙肝肝硬化脾功能亢进非常安全，治疗效果也非常好，值得进行临床推广和应用。
目的：分析和總結部分脾栓塞聯閤抗病毒治療乙肝肝硬化脾功能亢進的效果。方法：利用部分脾栓塞聯閤阿德福韋酯治療60例乙肝肝硬化脾功能亢進患者，對肝功能、血常規、血病毒載量、門靜脈內徑、脾髒厚度以及脾靜脈內徑等變化情況進行鑑測，併隨訪3箇月。結果：治療後，患者的外週血細胞上升、病毒量下降、肝功能得到改善，門靜脈壓力降低、脾髒縮小，消化道齣血減少。結論：對部分脾栓塞聯閤抗病毒治療乙肝肝硬化脾功能亢進非常安全，治療效果也非常好，值得進行臨床推廣和應用。
목적：분석화총결부분비전새연합항병독치료을간간경화비공능항진적효과。방법：이용부분비전새연합아덕복위지치료60례을간간경화비공능항진환자，대간공능、혈상규、혈병독재량、문정맥내경、비장후도이급비정맥내경등변화정황진행감측，병수방3개월。결과：치료후，환자적외주혈세포상승、병독량하강、간공능득도개선，문정맥압력강저、비장축소，소화도출혈감소。결론：대부분비전새연합항병독치료을간간경화비공능항진비상안전，치료효과야비상호，치득진행림상추엄화응용。
Objective:To analyze and summarize the effect of partial splenic embolization combined with antivirus treatment in hepatitis B cirrhosis hypersplenism.Methods:60 patients with hepatitis B cirrhosis hypersplenism were treated with partial splenic embolization combined with adefovir dipivoxil.The changes of liver function,blood routine,blood viral load,partal vein diameter, spleen thickness and diameter of splenic vein were monitored.And they were followed up for 3 months.Results:After this method of treatment,the increased peripheral blood cells,decreased viral load and hepatic function of patients were improved.The portal venous pressure was decreased.The spleen was diminished.The gastrointestinal bleeding was reduced.Conclusion:The partial splenic embolization combined with antivirus treatment in hepatitis B cirrhosis hypersplenism is very safe.The treatment effect is also very good.It is worthy of clinical popularization and application.
