摘要
目的总结脾外伤患者行保脾治疗的经验。方法回顾性分析197例脾损伤治疗的临床资料。结果 197例选择性非手术治疗87例,选择性手术保脾治疗110例,其中粘合胶加大网膜填压修补28例,脾动脉结扎脾修补24例,脾部份切除26例,脾切除自体脾片移植22例,腹腔镜脾修补10例。手术治疗发生并发症17例,其中粘连性肠梗阻4例,脾热10例,胰漏2例,脑梗塞1例。全部治愈出院。结论外伤性脾破裂保脾治疗,较好的保持了脾脏功能,值得推广。
Objective To summarize the experience of spleen-preserving treatment on patients with spleen injury.Methods A total of 197 patients with spleen injury were retrospectively analyzed.Results In these 197 cases,there were 87 cases of non-operative treatment,110 cases of selective spleen-preserving surgery treatment,in which 28 cases received great omentum and binding agent repair,24 cases received splenic artery ligation and spleen repair,26 cases received partial spleen resection,22 cases received auto-splenic lobe transplantation and spleen resection,10 cases received spleen repair with laparoscopy.After surgery,there were 17 cases had complications,including 4 cases of adhesive intestinal obstruction,10 cases of spleen fever,2 cases of pancreatic leakage,one case of cerebral infarction.All patients were cured and discharged.Conclusion The spleen-preserving treatment can maintain spleen function better in traumatic spleen rupture,thus worth popularizing.
出处
《肝胆外科杂志》
2012年第2期120-122,共3页
Journal of Hepatobiliary Surgery
关键词
脾外伤
非手术治疗
保脾手术治疗
Spleen injury
non-operative treatment
spleen-preserving surgery treatment
