外伤性脾破裂的治疗体会

Treatment Experience of Traumatic Rupture of the Spleen

目的评价外伤性脾破裂脾大部分切除术术后的疗效。方法 1989至2009年共做20例脾手术,其中14例外伤性闭合性脾破裂经大部分脾切除术,利用脾胃韧带间的胃短(A)血管,保证了残留小部分脾组织的血液供应。结果全部脾术后患者7～10d痊愈出院。结论脾大部分切除术相比于应用大网膜包裹脾小部分组织种植术效果确切可靠,较宜适合青少年外伤性脾破裂患者。

Objective To evaluationthe massive traumatic rupture of the spleen resection with postoperative efficacy evaluation.Methods There were done 20 cases with splenic surgery during 1989~2009,of which 14 cases of closed traumatic rupture of the spleen after massive resection,use of the short gastric artery vessel at the splenogastric ligament to ensure that the blood supply of remaining small portion of the spleen was actived.Results All patients had cured after 7~10 days.Conclusion Compared with the implantation of the epiploon wrapped a small part of spleen tissue,the effect of the massive traumatic rupture of the spleen resection was more exact and reliable,and more appropriate for youth patients with traumatic rupture.