外伤性脾破裂的保脾手术治疗

Experience in Treating Traumatic Spleen Rupture by Reserved Splenectomy

目的探讨外伤性脾破裂保脾手术治疗的方法及效果。方法回顾性分析外伤性脾破裂32例保脾手术治疗的临床资料,18例行修补缝合术,9例行脾部分切除术,5例行脾动脉结扎+脾部分切除术。随访时间1a^3a。结果本组无手术死亡病例,全部治愈出院,术后恢复劳动能力,无感染易感性增加。B超检查脾动脉结扎者无脾梗死情况。结论对部分外伤性脾破裂患者,综合运用保脾手术是安全有效的。

Objective To investigate the method and effect of reserved splenectomy on traumatic spleen rupture. Methods 32 eases of traumatic spleen were retrospectively analyzed. 18 cases were treated by stitching, 9 cases were treated by partial splenectomy, 5 cases were treated by ligating spleen artery with partial splenectomy. All patients were followed up for 1 to 3 years. Results No patients died from surgical operation, all patients recovered. Patients could work after operation and the susceptibility to disease didn＇t increase. B supersonic inspection showed： splenic infarction didn＇t exist in patients treated with binding spleen artery. Conclusion It is feasible for partial patients with traumatic spleen treated with reserved splenectomy synthetically.