脾动脉栓塞术在外伤性脾破裂中的临床应用

Clinical application of splenic artery embolization in the treatment of traumatic splenic rupture

目的探讨脾动脉栓塞术在外伤性脾破裂中的应用效果。方法选取63例外伤性脾破裂患者为研究对象,其中30例行开腹脾切除术治疗(开腹手术组),33例行脾动脉栓塞术治疗(脾动脉栓塞组)。对比两组患者的临床资料。结果开腹手术组30例患者均痊愈;脾动脉栓塞组1次栓塞成功31例,1例再次行选择性出血血管栓塞,无继发出血;1例栓塞过程中发现脾动脉主干受损,中转开腹脾切除术,均痊愈出院。结论脾动脉栓塞是治疗脾损伤的一种有效、微创的方法,而且保留了脾脏功能。

Objective To explore the clinical effect of splenic artery embolization in the treatment of traumatic splenic rupture. Methods 63 cases with traumatic splenic rupture were selected as the research object,among them,30 cases received open splenectomy（ open surgery group）,33 cases underwent splenic artery embolization（ splenic artery embolization group）. The clinical data of the two groups were compared.Results 30 patients of open surgery group were cured and discharged. In the splenic artery embolization group,embolization was successfully performed in 32 cases（ 31 cases successfully in one time,and 1 case underwented selective bleeding vascular embolization）. There was no secondary bleeding. In the rest one case,splenic artery was damaged during the embolization,and open surgery was immediately given after splenic artery embolization to control bleeding. All patients were recovered. Conclusions Splenic artery embolization is an effective and minimally invasive treatment for traumatic splenic rupture,and preserves the function of the spleen.