Influence of partial splenic embolization on the factors related to alimentary canal bleeding in hepatocirrhosis

Objective To explore the influence of partial splenic embolization （PSE） on the factors related to alimentary canal bleeding in hepatocirrhosis. Methods Forty-nine cases of hepatocirrhosis patient with alimentary canal hleeding were selected according to the sequence of entrance. In these patients, 28 cases were set in treatment group and the rest 21 cases were control group. Besides basic therapeutic measures PSE technique were given to the patients of treatment group, while the patients in control group received basic therapeutic measures only. And the blood routine test, prothrombin time（PT） , liver function tests, B type uhrasonography and gastroscopy were conducted or observed respectively before operation and 7 days, 1 month, 6 months ,1 year after operation. Results ①7 days after operation, the count of blood platelets and white blood cells in peripheral blood of therapy group were higher obviously than those of control group（P 〈 0. 01 ）. PT was shorter than that of control grnup（P 〈 0. 01 ）. ②6 months and 1 year after operation, variees of esophagus in therapy group improved obviously than those of control group（ P 〈 0. 01, P 〈 0. 05 ）. ③6 months and 1 year after operation, portal hypertensive gastropathy of therapy group improved obviously than that of control group（P 〈 0. 01 , P 〈 0. 05 ）. Conclusion It has obvious effect on the three factors related to alimentary canal bleeding in hepatocirrhnsis and is worthy to popularize to adopt PSE technique in these patients. Key words: Therapeutic embolization, splenic artery;  Hepatic cirrhoses;  Alimentary canal bleeding;  Esophageal varices