带蒂大网膜填塞治疗严重肝外伤29例

Treatment of Severe Liver Trauma With Packing the Pedunculated Greater Omentum

目的 探讨应用带蒂大网膜治疗严重肝损伤的方法应用。方法 回顾性总结 1993年 8月至 2 0 0 1年 9月收治严重肝损伤应用带蒂大网膜治疗的病例 2 9例临床资料分析。结果 带蒂大网膜在治疗严重肝损伤中有重要作用。结论 对肝创面要彻底清创 ,严格止血 ,稳妥缝扎断裂胆管是应用带蒂大网膜的先决条件。

Objectives To investigate the treatment of severe liver trauma with packing the pedunculated greater omentun. Methods 29 cases with severe liver trauma treated by packing pedunculated greater omentum were analyzed retrospectively. Results Packing pedunculated greater omentum was an effective method for severe liver trauma. Conclusions Complete debridement and hemostasis of the wound, and safe transfixion were preconditions of using pedunculated greater omentum to treat severe liver trauma.