摘要
目的探讨脾外伤脾门破裂原位保留脾脏的手术方法.方法1995年10月～2003年10月对脾门破裂的32例患者,均采用大网膜包裹脾门的方法保留脾脏.结果均治愈,术后无1例死亡.24例随访1～5年,经彩色多普勒及核素得扫描检查,均无脾萎缩发生.无1例出现血小板骤升及易感染情况,脾功能正常.结论脾脏在血液及免疫力方法的功能对儿童及青少年尤为重要.当脾门破裂时决定是否切除脾脏应当慎重.本组采用的保脾手术方法安全,对防止脾切除后可能发生的并发症有一定意义.
Objective To explore the operational method of retaining spleen at its original place when spleen trauma and spleen rupture happens. Methods All of the 32 cases of spleen rupture from October, 1995 to October,2003 were treated with the method of greater omentum warp to retain the spleens. Results All the cases were cured, without death. 24 cases were followed up for 1 to 5 years and examined by color Doppler and nuclide scanning,the results indicated no splenatrophy. None of the thrombocyte and susceptible condition occured, and the spleens functioned well. Conclusion Especially for children and the youth,spleen plays a great role in blood and immunity. It should be considered carefully whether the spleen should be resected or not when it ruptures. The method of retaining spleen used in this group is safe and significant to prevent the possible complication after the spleen has been resected and it deserves to be recommended.
出处
《医药论坛杂志》
2005年第14期32-32,34,共2页
Journal of Medical Forum
关键词
脾门
大网膜
手术
保脾
并发症
Hilus of spleen
Greater omentum
Operation
Retaining spleen
Complication
