[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.
点击复制

脾动脉阻断联合射频消融术治疗脾功能亢进的疗效观察 ()

PDF下载中关闭

分享到:

《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:

[1] Kedia S, Goyal R, Mangla V, et al. Splenectomy in cirrhosis with hypersplenism: improvement in cytopenias, Child’s status and institution of specific treatment for hepatitis C with success[J]. Ann Hepatol, 2012, 11: 921 929.
[2] 马宽生, 吴 乔, 刘全达, 等. 射频消融治疗脾功能亢进症的临床研究[J]. 中华外科杂志, 2004, 42: 944 946.
[3] Peck Radosavljevic M. Hypersplenism[J]. Eur J Gastroenterol Hepatol, 2001, 13: 317 323.
[4] Wood BJ, Bates S. Radiofrequency thermal ablation of a splenic metastasis[J]. J Vasc Interv Radiol, 2001, 12: 261 263.
[5] 吴宇旋, 张彦舫, 郑雪芬, 等. 经皮射频消融治疗脾功能亢进症[J]. 介入放射学杂志, 2009, 18: 370 372.
[6] Cotroneo AR, Di Stasi C, Cina A, et al. Stent placement in four patients with hepatic artery stenosis or thrombosis after liver transplantation[J]. J Vasc Interv Radiol, 2002, 13: 619 623.
[7] 王 素, 胡继红, 赵 卫. 部分性脾动脉栓塞术治疗肝硬化脾功能亢进的进展[J]. 介入放射学杂志, 2014, 23: 546 549.
[8] 刘全达, 周宁新, 宋 扬, 等. 脾动脉阻断技术在射频消融治疗门脉高压性脾功能亢进症中的应用[J]. 临床肝胆病杂志, 2011, 27: 136 139.
[9] 李晓勇, 刘新江, 周百中, 等. 射频消融治疗脾功能亢进的临床研究[J]. 中原医刊, 2006, 33: 21 22.
[10] 李赵鹏, 赵 卫. 脾脏射频消融治疗门脉高压性脾功能亢进的研究进展[J]. 介入放射学杂志, 2009, 18: 953 956.
[11] Sakai T, Shiraki K, Inoue H, et al. Complications of partial splenic embolization in cirrhotic patients[J]. Dig Dis Sci, 2002, 47: 388 391.
[12]刘全达, 马宽生, 何振平, 等. 射频消融治疗继发性脾肿大、 脾功能亢进可行性和安全性的实验研究[J]. 中华外科杂志, 2003, 40: 62 65.

相似文献/References:

[1]张 伟.前置胎盘剖宫产术中髂内动脉栓塞与低位腹主动脉球囊阻断比较研究 [J].介入放射学杂志,2018,27(04):322.
 ZHANG Wei.Internal iliac artery embolization vs lower abdominal aortic balloon occlusion in cesarean section for delivery women with placenta previa: a comparative study[J].journal interventional radiology,2018,27(05):322.
[2]刘军乐,付大鹏,石 燕,等.超声导引下腹主动脉球囊预置新方法预防产后出血[J].介入放射学杂志,2018,27(12):1144.
 LIU Junle,FU Dapeng,SHI Yan,et al.A new method of ultrasound- guided pre- implantation of abdominal aorta balloon for prevention of postpartum hemorrhage[J].journal interventional radiology,2018,27(05):1144.
[3]中国妇幼保健协会放射介入专业委员会.胎盘植入剖宫产血管内球囊暂时阻断技术规范中国专家共识[J].介入放射学杂志,2023,32(05):415.
 Interventional Radiology Professional Committee of China Maternal and Child Health Association.Chinese expert consensus on the specifications of temporary intravascular balloon occlusion technique in cesarean section for pregnant women with placenta implantation[J].journal interventional radiology,2023,32(05):415.
[4]中国医师协会介入医师分会妇儿介入专业委员会,中华医学会放射学分会介入学组泌尿生殖专业委员会,中华放射学会介入专业委员会妇儿介入学组,等.经皮股动脉穿刺动脉造影下腹主动脉球囊血流临时性阻断技术规范中国专家共识 [J].介入放射学杂志,2023,32(08):727.
 Women and Children Intervention Committee of Interventional Physicians Branch of Chinese Medical Doctor Association,Urogenital Professional Committee of Interventional Group of Radiology Society of Chinese Medical Association,Women and Children Interventional Group of Interventional Committee of Chinese Radiological Society,et al.Chinese expert consensus on the technical specification for temporary balloon occlusion of abdominal aorta blood flow under the guidance of aortic angiography via femoral artery access[J].journal interventional radiology,2023,32(05):727.

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