摘要
目的总结外伤性脾破裂的诊治经验,以提高脾破裂的诊治水平。方法回顾性分析近10年来收治的103例外伤性脾破裂的诊断和治疗。结果根据外伤史、体格检查、诊断性腹部穿刺及B超、CT检查,确诊率98%,非手术治疗21例(20.39%),均治愈,手术治疗82例(79.61%),除2例患者在术中死亡外,余均一期手术成功,痊愈出院。结论外伤病史的详细询问和体格检查、多部位反复腹腔穿刺即必要的辅助检查是提高脾破裂确诊率的关键。外伤性脾破裂在确保伤者生命安全的前提下,应尽可能保留脾脏,尤其是儿童。脾修补术加或不加脾动脉结扎是保脾治疗中较为简单、安全、有效的方法。
Objective To summarize the experiences in the diagnosis and treatment of traumatic splenic mpture（TSR） in order to improve the diagnosis and treatment level of TSR. Methods The diagnosis and treatment of 103 patients with traumatic splenic rupture in recent 10 years were retrospectively analyzed. Results The preoperative correct diagnosis rate was 98% and was established on the history of injury, clinical presentation, abdominal paracentesis, abdominal uhrasonography and CT, the 21 cases treated nonoperativly were cured, and the other 82 cases treted by operation, 101 patients wer cured and 2 cases died during operation. Conclusion Combination of obtaining a detailed his- tory of injury, physical examination, abdominal ultrasonography and CT can improve the accuracy rate of preoperative diagnosis. Under the en- surance of the safety of the patients life,preservation of the spleen should be performed if possible,especialy for children. Both splenorhaphy with or without ligation of splenic artery are simple, safe and effective methods to salvage the spleen.
出处
《中国现代医生》
2009年第21期76-77,共2页
China Modern Doctor
关键词
脾破裂
脾切除术
Spleen rupture
Spleneetomy
