经颈静脉肝内门体分流术对门静脉高压患者脾脏体积及血小板数量的影响徐快乐1，周春泽2，吕维富21．山东大学齐鲁医学院山东济南250012;2．中国科学技术大学附属第一医院(安徽省立医院)影像科安徽合肥230001【摘要】目的探讨经颈静脉肝内门体分流术(TIPS)对门静脉高压患者脾脏体积及血小板数量的影响。方法选取并分析101例门静脉高压患者TIPS手术前后脾脏体积及血小板数量变化。结果根据纳入及排除标准，共纳入101例门静脉高压患者，术前脾脏体积(909．95±415．71)cm3，术后脾脏体积(791．63±398．97)cm3(P＜0．01)，TIPS术后脾脏体积缩小77例(76．24%)，脾脏体积增大24例(23．76%);术前血小板(67．36±44．64)×109/L，术后血小板(64．41±47．96)×109/L(P=0．49)，血小板升高39例(38．61%)，血小板降低62例(61．39%)。结论门静脉高压患者TIPS术后脾脏体积明显缩小，但血小板数量并未发生明显变化，且两者之间不存在明显的相关性。【关键词】门静脉高压;经颈静脉肝内门体分流术;脾脏体积;血小板数量;体层摄影术，X线计算机中图分类号:Ｒ543．6;Ｒ814．42文献标识码:A文章编号:1006-9011(2023)04-0587-04Effectofintrahepaticportalshuntviajugularveinonspleenvolumeandplateletcountinpatientswithportalhyperten-sionXUKuaile1，ZHOUChunze2，LYUWeifu21．CheelooCollegeofMedicine，ShandongUniversity，Jinan250012，China2．DepartmentofＲadiology，TheFirstAffiliatedHospitalofUSTC，DivisionofLifeSciencesandMedicine，UniversityofScienceandTechnologyofChina，Hefei230001，China【Abstract】ObjectiveToinvestigatetheeffectsoftransjugularintrahepaticportalshunt(TIPS)onspleenvolumeandplateletcountinpatientswithportalhypertension．MethodsThechangesofspleenvolumeandbloodcellcountinpatientswithportalhypertensionbeforeandafterTIPSsurgerywereretrospectivelyanalyzed．ＲesultsAccordingtoinclusionandexclusioncriteria，atotalof101patientswithportalhypertensionwereincluded．Preoperativespleenvolumewas(909．95±415．71)ml，postopera-tivespleenvolumewas(791．63±398．97)ml(P＜0．01)，andspleenvolumedecreasedin77patients(76．24%)afterTIPS．Spleenvolumeincreasedin24cases(23．76%)．Plateletcountwas(67．36±44．64)×109/Lbeforeoperationand(64．41±47．96)×109/Lafteroperation(P=0．49)...
