A Comparative Study of Surgical Splenectomy, Partial Splenic Embolization, and High‐Intensity Focused Ultrasound for Hypersplenism. (2nd February 2016)

• Record Type: Journal Article
• Authors: Zhu, Jing; Chen, Xijun; Hu, Xiaotong; Zhu, Hui; He, Chao
• Is Part Of: Journal of ultrasound in medicine. Volume 35:Number 3(2016)
• Page Start: 467
• Page End: 474
• Publication Date: 2016-02-02
• Subjects: high-intensity focused ultrasound -- hypersplenism -- partial splenic embolization -- splenectomy; Ultrasonics in medicine -- Periodicals; Ultrasonics; Ultrasonography; Ultrasonics in medicine; Electronic journals; Periodicals; Periodicals; 616.07543
• DOI: 10.7863/ultra.15.03050
• Languages: English
• ISSNs: 0278-4297

Abstract

Abstract : Objectives: This study compared splenectomy, partial splenic embolization, and high‐intensity focused ultrasound (HIFU) therapy, which represent the traditional, mature, and newest methods for improving thrombocytopenia in hypersplenism, respectively. Methods: A total of 69 patients with hypersplenism were treated with surgical splenectomy (n = 31), HIFU (n = 26), or partial splenic embolization (n = 12). They were followed closely for at least 6 months, and the effectiveness of the treatments was compared. Results: Among the 3 groups, splenectomy was the most effective treatment for increasing peripheral blood cells. Embolization reduced the operating time and hospital stay, but HIFU was relatively safer and less invasive than the other treatments. Conclusions: High‐intensity focused ultrasound has wide clinical indications for hypersplenism and may be safer than other treatment methods. Therefore, it is a good alternative procedure for patients with a high surgical risk.