摘要
目的通过对脾动脉部分栓塞和脾切除治疗脾大伴脾功能亢进症的疗效及并发症分析,探讨两种方法治疗脾功能亢进的优越性。方法回顾分析35例行脾动脉部分栓塞和24例行脾切除治疗的脾功能亢进患者的临床资料,将两种方法治疗后的外周血液成份(血红蛋白,白细胞,血小板)改变及并发症等进行对比分析。结果两种方法近期均能有效治疗脾功能亢进,可明显改善血小板和白细胞计数(P<0.01)。脾切除组对血小板和白细胞的改善优于部分脾动脉栓塞组(P<0.01)。脾动脉部分栓塞组术后并发症较脾切除组多,而脾切除组手术适应症要求较高。结论两种方法均能有效治疗脾脏功能亢进,应根据患者情况选择适合的治疗方式。
Objective To investigate the superiority of partial splenic artery embolization and splenectomy for hypersplenism.Methods The data of 35 cases with partial splenic artery embolization and 24 cases with splenectomy was retrospectively reviewed including hemoglobin,thrombocyte,leucocyte counts and complications.Results Both methods could effectively treat hypersplenism.The postoperative thrombocyte and leucocyte counts increased markedly（P 0.01）and the increased data was significantly higher in group of splenectomy（P0.01）.The complications for the partial splenic artery embolization group were more than that for the splenectomy group.Splenectomy group had more stringent indications for surgery.Conclusion Partial splenic artery embolization and splenectomy for hypersplenism are both effective.The appropriate treatment should be choosed according to the patient＇s condition.
出处
《西部医学》
2011年第10期1883-1884,1887,共3页
Medical Journal of West China
关键词
脾大
脾脏功能亢进
脾动脉栓塞
脾切除
并发症
Splenomegaly
Hypersplenism
Splenic embolization
Splenectomy
Complications
