创伤性脾破裂非手术治疗探讨

目的探讨创伤性脾破裂非手术治疗的临床效果。方法对我院2004～2007年间收治的45例外伤性脾破裂患者的临床资料进行回顾性分析。结果24例患者行手术治疗,占同期脾破裂患者的53.3%,其中19例为非手术治疗失败后急症行脾切除+V桥网片保脾手术,21例行非手术治疗。所有患者均痊愈出院,平均住院时间为12天,出院随访3个月均恢复良好。结论选择合适的脾破裂患者行非手术治疗,是安全有效的。

Objective The discussion wound spleen bursts the clinical effect which the non-surgery treats. Methods 45 cases of adult splenic injury having been managed operatively or nonoperatively from 2004 to 2007 in a monitored setting were analysed. Results 24 patients were treated by surgery treatment, amounting to 53.3%（24/45） in this period, but 19 cases were changed surgery treatment because of emergency, then 21 patients were treated by non-surgery treatment All patients healed well, and were followed up for 3 months. The result showed no complications be noted. The mean length of hospitalization was 12 days. Conclusion Selective nonoperative management in adult patients with splenic injury can be done safely in a monitored setting.