保脾治疗外伤性脾破裂150例临床分析

Clinical analysis of spleen-conserving therapy for traumatic splenic rupture in 150 cases

目的探讨外伤性脾破裂保脾治疗的应用。方法回顾性分析150例行保脾治疗的外伤性脾破裂的临床治疗经过。结果非手术治疗48例,手术治疗102例,均获临床治愈,随访无并发症发生。结论在严格掌握适应证的前提下,保脾治疗为外伤性脾破裂的首选治疗方案。必要时采用多种方式保脾。

Objective To explore application of preserving spleen in the treatment of splenic traumatic rupture. Methods Data of 150 cases of traumatic splenic rupture treated by spleen-conserving therapy were retrospectively analyzed. Results 48 cases accepted nonoperative management and 102 cases accepted operative management were all healing well. No complication was observed during follow-up period. Conclusion Spleenconserving therapy may be the first choose for traumatic splenic rupture, as long as the indication was observed strictly. Combined splenic salvage can be used on certain conditions.