Treatment of traumatic rupture of spleen by partial splenic embolization

Objective To study the effect of partial splenic embolization(PSE)in the treatment of traumatic spleen rupture.?Methods The catheter was inserted into spleen artery by Seldinger's technique via the femoral artery and then DSA was performed to show the injured arteries.?In order to embolize the bleeding arteries,the catheter was super selectively inserted into the artery then Gelfoam particles were infused into it.?Under local anesthesia,the “Pigtail”tube was placed at Mc Burney's point to drain blood that remained in abdominal cavity.?If the blood was not contaminated or hemolytic,the blood could be transfused.?After operation,B type ultrasonic wave,CT and 99m T C were implemented 3,6 months respectively to detect the morphology,density and blood supply of the spleen.?The number of platelets and the level of IgM,IgG,C 3 in serum were tested.?Results Among the total 35 cases treated with PSE,the morphology of spleens and immunologic parameters were normal,the effect of hemostasis was also satisfactory.?Conclusion PSE is an effective therapy in the selective treatment of spleen rupture.?There is nocomplication.?It is safe,reliable and the injury is minimal.