梅雀林,李彦豪,鲁恩洁,陈勇.脾栓塞程度控制的方法学研究(前瞻性研究)[J].中国医学影像技术,2000,16(12):1077~1078
脾栓塞程度控制的方法学研究(前瞻性研究)
A Prospective Study on Method of Controlling the Extents of Splenic Embolization
投稿时间:2000-04-12  
DOI:
中文关键词:  脾功能亢进  栓塞,治疗性
英文关键词:Hypersplenism  Embolization , therapeutic
基金项目:
作者单位
梅雀林 第一军医大学附属南方医院放射科,广东广州 510515 
李彦豪 第一军医大学附属南方医院放射科,广东广州 510515 
鲁恩洁 第一军医大学附属南方医院放射科,广东广州 510515 
陈勇 第一军医大学附属南方医院放射科,广东广州 510515 
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中文摘要:
      目的验证栓塞前根据预期栓塞程度和1mm 脾内动脉分支数确定明胶海绵用量,进而控制脾栓塞程度 方法的可靠性。方法34 例部分脾栓塞术(partial splenic embolization , PSE) 患者,栓塞前首先确定预期栓塞程度 ( Ee预期) 和1mm 脾内动脉分支数(A 值) ,然后根据回顾性研究的结果G= ( E-1115) A/ 5015 ,估算脾栓塞所需的明 胶海绵用量( G) ,把这些栓塞剂缓慢注入脾动脉主干后,评估Ee实际与Ee预期的偏差。结果Ee实际与Ee预期偏差较小, 两者无显著性差异( t = 0. 49 , P > 0. 5) 。结论脾栓塞前根据预期栓塞程度和脾内动脉分支数确定明胶海绵用量, 从而控制脾栓塞程度是可靠的。
英文摘要:
      Objective To verify accuracy of the method for controlling the extents of splenic embolization by injecting these gelfoam particles which were determined by the expected extents of splenic embolization and splenic artery branches about 1mm diameter. Methods Before embolization , the expected extents of splenic embolization ( Ee) were determined , and splenic artery branches about 1mm diameter (A) were calculated. Then the quantity of gelfoam particles used( G) were respectively estimated according to retrospective study results : G= ( E-11. 5) A/ 50. 5. Finally ,these emboli were respectively injected into main splenic artery in 34 patients. The deviations of the extents of splenic embolization between expected and actual were compared. Results The deviations of the extents of splenic embolization between expected and actual were small . There wasn’t a statistical difference ( t = 0. 49 , p > 0. 5) . Conclusion It’s accurate to control the extents of splenic embolization by injecting these gelfoam particles which were determined by the expected extents of splenic embolization and splenic artery branches about 1mm diameter.
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