外伤性脾破裂经介入治疗成功保脾25例

Successful treatment of traumatic splenic rupture with splenic artery embolism in 25 cases

目的探讨外伤性脾破裂应用血管介入方法行保脾治疗。方法对26例诊断为外伤性脾破裂的患者行数字减影血管造影（DSA）检查及脾动脉栓塞止血保脾治疗。结果25例外伤性脾破裂患者行超选择脾动脉栓塞止血均一次性成功止血，保存脾脏，无明显并发症；1例开腹手术。结论通过DSA介入血管栓塞保脾是一种更简单、对人体损伤更小，且治疗效果确切的方法，对于外伤性脾破裂的患者，在条件允许的情况下，首先可以尝试经非手术保脾治疗。

Objective To study the conservative treatment of traumatic splenic rupture with the method of splenic artery embolism. Method 26 patients with traumatic splenic rupture were successfully treated with digital subtraction angiograpby（ DSA ） and splenic artery embolism. Result Hemostasis was successful in 25 patients with traumatic splenic rupture by superselective splenic artery embolism to preserve the spleen without significant complications. Conclusion DSA splenic artery embolism is a more simple and minimally invasive method with definite therapeutic effect to preserve the spleen. Non - operative method is the first choice for the protection of spleen under permissive circumstances when the patients suffer from traumatic spleen rupture.