2000Journal of Heze Medical CollegeRequires access

Portal Hypertension and Hypersplenia Caused by Cirrhosis Treated with Partial Splenic Embolization

Peizhen Wang

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Abstract

Objective To observe deeply the clinical value of partial splenic emboization(PSE) in treating patients with portal hypertension and hypersplenia caused by Cirrhosis.Methods Embolize partial splenic artery with particulate gelatin sponge by tube inserted through inferior vana cave.Results Peripheral blood leukocyte and platelet count in all the patients in this article increased. 19 cases were up to normal, 3 cases were partially recovered.The volumme of splenic vein and partial vein were shortened back.The degree of esophageal varices decreased,prothrombin time was shortened, protnrombin actvity increased. The time that hepatic encephalopathy happened decreased, the level of blood ammonia was lowered and no severe complications happened after the operation.Conclusion PSE is a safe and effective treatment technique in treating portal hypertension and hypersplenism caused by cirrhosis. And it can improve hepatic encephalopathy.

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What this paper is about

Objective To observe deeply the clinical value of partial splenic emboization(PSE) in treating patients with portal hypertension and hypersplenia caused by Cirrhosis.Methods Embolize partial splenic artery with particulate gelatin sponge by tube inserted through inferior vana cave.Results Peripheral blood leukocyte and platelet count in all the patients in this article increased. 19 cases were up to normal, 3 cases were partially recovered.The volumme of splenic vein and partial vein were shortened back.The degree of esophageal varices decreased,prothrombin time was shortened, protnrombin actvity increased. The time that hepatic encephalopathy happened decreased, the level of blood ammonia was lowered and no severe complications happened after the operation.Conclusion PSE is a safe and effective treatment technique in treating portal hypertension and hypersplenism caused by cirrhosis. And it can improve hepatic encephalopathy.

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Available abstract

Objective To observe deeply the clinical value of partial splenic emboization(PSE) in treating patients with portal hypertension and hypersplenia caused by Cirrhosis.Methods Embolize partial splenic artery with particulate gelatin sponge by tube inserted through inferior vana cave.Results Peripheral blood leukocyte and platelet count in all the patients in this article increased. 19 cases were up to normal, 3 cases were partially recovered.The volumme of splenic vein and partial vein were shortened back.The degree of esophageal varices decreased,prothrombin time was shortened, protnrombin actvity increased. The time that hepatic encephalopathy happened decreased, the level of blood ammonia was lowered and no severe complications happened after the operation.Conclusion PSE is a safe and effective treatment technique in treating portal hypertension and hypersplenism caused by cirrhosis. And it can improve hepatic encephalopathy.

Key concepts: Medicine, Cirrhosis, Portal hypertension, Esophageal varices, Splenic artery, Hepatic encephalopathy, Splenic vein, Prothrombin time

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