摘要：目的 探讨CT引导下经皮射频消融(RFA)治疗肝硬化门脉高压性脾功能亢进症(脾亢)的疗效和经验。方法 采用CT引导下射频消融(RFA)治疗21例脾亢患者，术前血小板计数(PLT)为(5.2~8.7)×109/L，术后复查血常规和增强CT或MRI。结果 射频消融范围占脾脏总体积(41~52)%，术后1个月PLT为(94~11)×109/L与术前相比显著增强(P<0.05)，未见严重并发症。结论 CT引导下射频消融治疗脾亢安全、有效。

    关键词：射频消融； CT引导； 脾功能亢进

    CT Guided Percutaneous Radiofrequency Ablation in the Treatment of Hypersplenism

    LUO Zhi-quan1,GUO Ke-feng2,FU Shao-bing1,PEI Chang-ying1,YUAN Xiao-ping1,YANG Chen1,REN Chang-ming1,LENG Xue1

    (1.Department of Internal Medicine-Oncology,Xinyang City Tumor Hospital,China;2.Department of Oncology,The Yellow River Hospital Affiliated to Henan University of Science and Technology,Sanmenxia 472000,Henan,China) ......