摘要
目的：探讨脾动脉分支在部分脾栓塞术中的临床意义。方法：总结32例部分脾栓塞术临床病例资料，观察16例脾动脉铸型标本，探讨脾动脉分支在部分脾栓塞术中的临床意义。结果：①栓塞程度为45％．70％，有3例出现急性胰腺炎。②脾内不小于1mm内径动脉支数为22（18．31）支，来自上、下脾叶动脉的分支支数大致相等。脾上、下叶之间存在无血管区。胰尾动脉1—2支，大多数发自脾动脉下叶支，起始内径为（1．14±0．10）mm，与其他动脉的吻合支细、少。结论：超选择性插管可将脾栓塞程度控制在50％左右。超选择性插管和选用2mm×2mm×2mm明胶颗粒，可避免误栓胰尾动脉。
Objective：To study the clinical significance of splenic arterial branches in partial splenic embolization. Methods： The significance of splenic arterial branches in partial splenic embolization were discussed by summarizing 32 cases treated by partial splenic embolization and observing splenic arterial branches in 16 samples. Results：①The splenic embolization proportions were 45 - 70%. Acute pancreatitis occurred in 3 cases after operation. ②The average number of arteries approximately over lmm in internal diameter was 22（ 18 - 31）, which equally distributed in lobus arteries superior and inferior. There were avascular zones between lobus superior and inferior. 1 - 2 caudal pancreatic arteries, which initial internal diameters, and its anastomotic ramus with other arteries were fewer and tenuity, most originated from inferior branches of splenic artery were（ 1.14 ± 0.10）mm. Conclusion： Ultraselective intubating into splenic arterial branches could control the splenic embolism proportion at about 50%. Application of ultraselective intubation and 2mm × 2mm × 2mm gelfoam particles could avoid pluging the caudal pancreatic arteries.
出处
《解剖与临床》
2006年第4期229-231,共3页
Anatomy and Clinics
关键词
部分脾栓塞术
脾动脉
应用解剖
Partial splenic embolization
Splenic artery
Applied anatomy
