外伤性脾破裂87例治疗体会

Experiences of Treatment for Traumatic Rupture of Spleen in 87 Cases

目的:总结外伤性脾破裂治疗经验。方法:回顾性分析87例外伤性脾破裂的临床资料。结果:手术治疗72例,1例死于重症脑外伤;非手术治疗15例,均治愈。结论:外伤性脾破裂在保证生命安全的前提下,根据患者个体情况及脾破裂的类型,选择非手术治疗或手术治疗;儿童患者手术治疗应尽可能维持脾功能;脾修补术、脾部分切除术、脾切除大网膜内移植术是保护脾功能的有效方法。

Objective To summarize the experiences of treatment for traumatic rupture of spleen.Methods Review and analyze the clinical data of 87 cases of traumatic rupture of spleen.Results In 72 cases treated with operative treatment,1 case died of severe brain injury;15 cases were cured with non-operative treatment.Conclusion The traumatic rupture of spleen should choose operative or non-operative treatment according to the individual patient and the type of splenic rupture on the premise that the safety of life was ensured;The spleen function of children patients should be maintained in operaive treatment as much as possible;splenorrhaphy,partial splenectomy and splenectomy omentum transplantation are effective ways of protecting the funtion of spleen.