原位保脾术治疗脾损伤132例体会

Learning from 132 cases protecting spleen operation in original place treating spleen injury

目的探讨外伤性脾损伤施行原位保脾术式的选择。方法回顾性分析我院外科1988年2月￣2003年12月间应用不同的原位保脾术式治疗脾损伤132例的临床资料。结果132例均治愈出院,无死亡病例。其中118例术后有不同程度的发烧,平均持续5.4d;有2例脾修补后,1例术后第4天发生再出血,经再次手术修补治愈,1例并发脾脓肿,经引流治愈。随访126例,均情况良好。结论原位保脾术式治疗脾损伤效果可靠,应根据脾损伤的程度、类型来合理选择不同的保脾术式或综合应用保脾技术是治疗的关键。

[Objective] To evaluate the choice of protecting splenic operation types in original place treating splenic injury. [Methods] Clinical data of 132 patients who underwent orthotopic protecting splenic operation for treating splenic injury between February, 1988 and December, 2003 were studied retrospectively. [Results] 132 cases all recovered from an illness. 118 cases of the 132 patients had fever averagely sustained 5.4 days. In 2 cases accepting splenic repaired operation, one case bled once at 4th day after operation and cured by another operation, the case fully recovered from an illness; one patient erupted simultaneously splenic abscess. By drainage the patient recovered. Following up 126 cases, their health condition were good. [Conclusion] By means of orthotopic protecting splenic surgical operation treating splenic injury, the effect is good. The key point of cure is choosing a ratinal protecting splenic operation or synthetically making use of protecting splenic technology according to the degree of splenic injury and type.