[1]解 阳,顾俊鹏,张海潇,等.脾动脉阻断联合射频消融术治疗脾功能亢进的疗效观察 [J].介入放射学杂志,2015,(05):405-408.
 IE Yang,GU Jun peng,ZHANG Hai xiao,et al.Percutaneous radiofrequency ablation of spleen together with splenic artery balloon block for the treatment of hypersplenism: observation of clinical effect[J].journal interventional radiology,2015,(05):405-408.
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脾动脉阻断联合射频消融术治疗脾功能亢进的疗效观察 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年05期
页码:
405-408
栏目:
非血管介入
出版日期:
2015-05-25

文章信息/Info

Title:
Percutaneous radiofrequency ablation of spleen together with splenic artery balloon block for the treatment of hypersplenism: observation of clinical effect
作者:
解 阳 顾俊鹏 张海潇 朱帝文 任伟新
Author(s):
IE Yang GU Jun peng ZHANG Hai xiao ZHU Di wen REN Wei xin
Department of Interventional Radiology, First Affiliated Hospital, Xinjiang Medical University, Wulumuqi, Xinjiang Uygur Autonomous Region 830054, China
关键词:
【关键词】 脾动脉 球囊阻断 射频消融 脾功能亢进
文献标志码:
A
摘要:
【摘要】 目的 总结脾动脉球囊阻断联合脾脏射频消融术(RFA)治疗肝硬化门静脉高压型脾功能亢进的有效性及经验。方法 在脾动脉球囊阻断状态下对15例脾功能亢进患者行经皮穿刺脾脏RFA,RFA平均时间为(46.4±5.4)min。术后3 d、1周、1个月、3个月和6个月监测血常规,术后1个月复查腹部CTA。结果 1例患者术后出现左侧大量血性胸腔积液,给予止血及胸腔积液引流后好转,其余患者未发生严重并发症。RFA后1个月行腹部CTA检查示RFA毁损范围占脾脏总体积的比率为34.3%~71.8%,平均(56.20±13.09)%。术前血细胞计数示:白细胞为(3.88±1.75)×109/L,红细胞(4.06± 0.37)×1012/L,血小板(48.14±11.33)×109/L。RFA术后1个月复查示:白细胞(5.62±1.61)×109/L,血小板(132.29±33.20)×109/L;与术前相比,血小板和白细胞显著升高(P<0.05)。结论 脾动脉球囊阻断联合RFA治疗肝硬化门静脉高压型脾功能亢进具有较高的安全性,且近期疗效可靠。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2014-09 -30)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-05-19