[1]朱 军,徐晓茜,罗剑钧,等.经皮脾静脉成形术治疗胰源性门静脉高压症 [J].介入放射学杂志,2018,27(05):415-418.
 ZHU Jun,XU Xiaoqian,LUO Jianjun,et al.Percutaneous splenic phleboplasty for the treatment of pancreatic portal hypertension[J].journal interventional radiology,2018,27(05):415-418.
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经皮脾静脉成形术治疗胰源性门静脉高压症
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年05期
页码:
415-418
栏目:
血管介入
出版日期:
2018-05-25

文章信息/Info

Title:
Percutaneous splenic phleboplasty for the treatment of pancreatic portal hypertension
作者:
朱 军 徐晓茜 罗剑钧 林春兴 陈忠华 罗咏萍 蒋晓忠 黄 勇 曹跃勇
Author(s):
ZHU Jun XU Xiaoqian LUO Jianjun LIN Chunxing CHEN Zhonghua LUO Yongping JIANG Xiaozhong HUANG Yong CAO Yueyong
Department of Interventional Radiology, Yibin Municipal Second People’s Hospital, Yibin, Sichuan Province 644000, China
关键词:
【关键词】 胰源性 门静脉高压症 经皮脾静脉成形术 静脉曲张
文献标志码:
A
摘要:
【摘要】 目的 探讨经皮脾静脉成形术治疗胰源性门静脉高压症(PSPH)的可行性及近期临床效果。方法 回顾性分析2014年11月至2016年5月采用经皮经肝门静脉穿刺脾静脉成形术治疗的4例PSPH伴消化道出血患者。通过比较患者术前和术后12个月脾功能亢进指标、曲张静脉影像学改变、脾静脉支架通畅度等情况以及有无复发出血,评价该方法近期临床疗效。结果 4例患者成功完成经皮经肝门静脉穿刺、脾静脉球囊扩张及脾静脉支架植入术,术中、术后未出现严重并发症。术后12个月内所有患者均无消化道出血复发,平均血小板计数由术前68.7×109/L升至92.4×109/L。术后12个月胃镜和增强CT显示胃底部静脉曲张程度较术前明显减轻,静脉红色征消失,脾静脉支架通畅率为100%。结论 经皮脾静脉成形术治疗PSPH的近期疗效确切,尚需进一步扩大患者数进行远期随访研究。

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备注/Memo

备注/Memo:
(收稿日期:2017-08-05)
(本文编辑:边 佶)
更新日期/Last Update: 2018-05-11