改良脾动脉栓塞联合腹腔镜脾切除术治疗患者门脉高压继
发脾大伴脾功能亢进
邓昌林;李靖;黄小兵;王梁;尤楠;吴柯;王威巍;张宇;唐艺宸
【期刊名称】《中华肝胆外科杂志》 【年(卷),期】2016(022)011
【摘要】Objective To investigate the safety and effectiveness of modified splenic arterial embolization (SAE) plus laparoscopic splenectomy (LS) in patients with splenomegaly and hypersplenism secondary to portal hypertension.Methods The clinical data of 54 patients with splenomegaly and hypersplenism secondary to portal hypertension admitted to the Xinqiao Hospital of the Third Military Medical University from April 2012 to December 2015 were collected and retrospectively analyzed.24 patients underwent modified splenic arterial embolization plus LS (the SAE + LS group),and 30 patients underwent LS alone (the LS group).The postoperative surgical outcomes between the two groups were compared.Continuous data were analyzed using the t test,and categorical data were analyzed using the Chi-square test.Results The modified splenic arterial embolization plus LS was performed successfully in all the patients in the SAE + LS group,and no patient required open surgery.Six patients in the LS group were converted to laparotomy.A shorter operative time [(150 ± 29) min vs.(210 ± 40) min,t =-6.098,P ＜ 0.05],less intraoperative blood loss
改良脾动脉栓塞联合腹腔镜脾切除术治疗患者门脉高压继发脾大伴脾
