保脾手术治疗脾破裂的效果分析

Efficacy Analysis on Spleen-Preserving Surgical Treatment of Spleen Rupture

目的：分析保脾手术治疗脾破裂的临床效果。方法搜集2012年11月～2013年11月我院接收的脾破裂36例患者，按照治疗方法不同进行分组，实验组共18例，治疗采用保脾手术；对照组共18例，治疗采用脾切除术。观察两组疗效，并比较。结果与对照组相比，实验组并发症的发生率较低，VAS 评分较低，生活质量评分较高，差异有统计学意义（P〈0.05）。结论保脾手术对脾破裂患者的治疗效果较好。

Objective Clinical efficacy of spleen-preserving surgery in treatment of spleen rupture is to be investigated. Methods Chose 36 patients with spleen rupture that were treated in hospital from November 2012 to November 2013 and separate them into two groups according to different treatment approaches. 18 patients in study group were given spleen-preserving surgical treatment, while 18 patients in control group were given splenectomy treatment,fol owed by observing and comparing treatment efficacy of these two groups. Results Compared to control group, complication incidence in study group was less and patients’score of VAS are lower than that in control group. The score of patients’life quality in study group was higher. There was a great difference between two groups（P〈0.05）. Conclusion Spleen-Preserving surgery is effective in treatment of spleen rupture with outstanding advantages, which is quite worthwhile to be promoted.