Clinical application of splenic artery branch diameter ratio method in calculation of splenic embolization volume percentage
10.13929/j.1672-8475.201701036
- VernacularTitle:脾动脉分支血管直径比值法计算脾脏栓塞体积百分比的临床应用
- Author:
Bin SUN
;
Shihai LIN
;
Lei LUO
;
Wei XIONG
;
Yuzhu WANG
;
Jun YANG
;
Zheng HUANG
- Keywords:
Splenic artery;
Embolization volume;
Gelatin sponge;
Hypersplenism
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(8):468-471
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical application value for calculating the volume of splenic embolization by splenic artery branch diameter ratio method.Methods Data of 20 patients with cirrhosis and hypersplenism who underwent partial operation of splenic artery embolization were retrospectively analyzed.Based on the angiography of splenic artery during operation,the diameter of branch vessels of splenic artery was measured and the percentage of embolism volume in spleen was calculated.CT scans were performed on all patients after one month of the operations.Based on VR reconstruction image,the percentage of embolism volume in the spleen was calculated.Postoperative complications and adverse responses were observed.Peripheral blood red cells,white blood cells and platelets were tested repetitively three days before the operation,and a week,a month,three months after the operation.Moreover,the statistical analysis was performed.Results The difference between the percentage of embolism volume in the spleen calculated by splenic artery branch diameter ratio method ([52.15±3.29]％) and calculated by CT ([49.99±6.02]％) was not statistical (t=-1.630,P=0.120).All the patients had moderate or below moderate pain on left upper quadrant,and had symptoms of nausea,vomiting and fever after the operation.They all got better after symptomatic treatment.Peripheral blood red cells,white blood cells and platelets all had significant differences among three days before the operation,a week,a month and three months after the operation (all P＜0.001).Conclusion During the partial splenic embolization,the application of ratio method on branch vessels of splenic artery to measure the volume of embolism in the spleen is convenient,prompt and relatively accurate.It is worthy to be expanded in clinic.
