脾动脉分支血管直径比值法计算脾脏栓塞体积百分比的临床应用

发布时间：2018-03-13 04:38

本文选题：脾动脉　切入点：栓塞体积　出处：《中国介入影像与治疗学》2017年08期 　论文类型：期刊论文

【摘要】：目的探讨脾动脉分支血管直径比值法计算脾脏栓塞体积的临床应用价值。方法回顾性分析20例接受部分脾动脉栓塞术治疗的肝硬化合并脾功能亢进患者的资料。根据术中脾动脉的血管造影图像,测量脾动脉分支血管的直径并计算脾脏栓塞体积百分比。对所有患者均于术后1个月行增强CT检查,并基于VR重建图像计算脾脏栓塞体积百分比。观察术后并发症及不良反应情况,于术前3天、术后1周、1个月、3个月检测外周血红细胞、白细胞及血小板,并进行统计学分析。结果部分脾动脉栓塞术中采用脾动脉分支血管直径比值法计算脾脏栓塞体积百分比[(52.15±3.29)%]与术后1个月CT测量栓塞体积百分比[(49.99±6.02)%]差异无统计学意义(t=-1.630,P=0.120)。所有患者术后均出现中度或中度以下左上腹疼痛,并出现恶心、呕吐、发热症状,均经对症治疗后好转。术前3天、术后1周、1个月、3个月外周血外周血红细胞、白细胞及血小板差异均有统计学意义(P均0.001)。结论部分脾动脉栓塞术中应用脾动脉分支血管直径比值法评估脾脏栓塞体积,简便、实时且较为准确,值得临床推广应用。
[Abstract]:Objective to investigate the clinical application value of splenic artery branch diameter ratio method in calculating splenic embolism volume. Methods 20 cases of cirrhosis with hypersplenism treated by partial splenic artery embolization were retrospectively analyzed. According to the angiographic images of splenic artery during operation, The diameter of branches of splenic artery was measured and the percentage of splenic embolism volume was calculated. The volume percentage of splenic embolism was calculated based on VR reconstruction images. The postoperative complications and adverse reactions were observed. The peripheral blood red blood cells, white blood cells and platelets were detected 3 days before operation, 1 week, 1 month and 3 months after operation. Results during partial splenic artery embolization, the percentage of splenic embolization volume was calculated by the ratio of splenic artery branch diameter [52.15 卤3.29 渭 g] and that measured by CT 1 month after operation [49.99 卤6.02%]. All patients had moderate or lower left epigastric pain after operation. The symptoms of nausea, vomiting and fever were improved after symptomatic treatment. The peripheral blood red blood cells were 3 days before operation, 1 week, 1 month and 3 months after operation. Conclusion during partial splenic artery embolization, it is simple, real-time and accurate to evaluate the volume of splenic embolism by using the ratio of branch diameter of splenic artery, which is worthy of clinical application.
【作者单位】：贵阳市第一人民医院放射介入科;
【分类号】：R575.2;R816.5

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