摘要
目的探讨外伤性脾破裂保脾手术方式。方法对17例外伤性脾破裂采用脾动脉结扎带蒂大网膜填塞脾破裂口缝合修补治疗。结果手术保脾治疗17例，其中单纯修补缝合3例，脾修补缝合加大网膜填塞5例，脾部分切除加大网膜填塞修补9例，术后均未出现再出血等并发症，经1～3年随访，B超、CT扫描脾解剖形态未见异常。结论该手术方法操作简单，效果满意，是较理想的保脾手术方法。
Objective To explore the method of preserving spleens in traumatic splenic rupture. Methods 17 cases of traumatic splenic rupture were treated by suture and repair of rupture with splenic artery ligation and greater omentum overlaying or plugging. Results 17 patients were treated surgically for preserving spleen and of them 3 cases were treated with simple suture, 5 cases with suture and omentum tamping and 9 cases with partial splenectomy and omentum tamping. There was no complications postoperatively in all cases. B-ultrasound and CT examinations showed normalities in the anatomic form of spleen in these patients followed up for 1-3 years. Conclusion The operative method is easy to be manipulated. It＇s a good choice for the treatment of traumatic splenic rupture and has perfect curative effects.
出处
《山东医学高等专科学校学报》
2007年第5期361-362,共2页
Journal of Shandong Medical College
关键词
脾破裂
保留脾脏
脾动脉结扎
大网膜
Splenic rupture
Splenicartery ligation
Greater omentum
