脾损伤62例诊治分析

Analysis of diagnosis and treatment of62cases splenic trauma

目的 :探讨脾脏损伤的诊治经验。方法 :复习近8年来我院脾脏损伤的临床资料及有关文献 ,总结脾脏损伤的诊治结果。结果 :本组62例 ,非手术治疗6例 ,其中2例中转手术 ,手术治疗56例 ,手术治疗中 ,脾修补术6例 ,脾动脉结扎术3例 ,脾部分切除术3例 ,脾切除手术36例 (其中自体脾片移植术6例 ) ,应用可吸收线纺织网罩套扎破裂脾8例 ,总死亡率8.1 % ,其中非手术治疗无死亡。结论 :外伤性脾破裂应根据受伤程度和患者的全身情况采用不同的治疗措施 ,遵从挽救生命第一 ,保留器官第二的原则。

Objective:To study the experience of diagnosis and treatment of splenic trauma.Methods:The clinical date of splenic trauma treated in our hospital in the recent8years and related literatures were reviewed,and the outcome of diagnosis and treatment of splenic trauma was summarized.Reuslts:Of62cases with splenic trauma,6were no-operative treatment,in which2were converted to operation.56were operative treatment,among them,6underwent splenic neoplasty,3underwent splenic arterial ligature,3underwent partial splenectomy,36splenectomy(in which6underwent self-splenic piece grafting)8ligature of net and sheath with absorbable suture.The total rate of death was8.1%.death case was not found in the no-operation group.Conclusion:The curative meacures should be seclted according to the impairment degree and systemic condition of the patients,and the principle should be followed to save the patient's life firstly,and retain the organon secondly.