Partial Splenic Embolotherapy Treatment on Portal Hypertension and Hypersplenia Caused by Cirrhosis

Objective: To study the clinical significance of partial splenic embolization (PSE) in treating patients with portal hypertension and hypersplenia caused by cirrhosis. Method:The partial splenic artery of 15 cases of hypersplenism with portal hypertension were embolized 50%-70% with 40% iodized oil, particulate gelatin sponge and stripe gelatin sponge by using Seldinger technique inserted tube through femoral artery. Result: The results were that spleens were shrunk and the condition of white blood cell, platelets and prothrombin. It was showed with ultrasonic B that the diameter of portal vein, splenic vein and splenic artery narrowed back. Vein of esophagus with bleeding and ascites have not been found after following 2 years. Conclusion: This technique has the features of steady therapeutic effect in short-term, safety and microtrauma.