摘要
目的 探讨可吸收聚羟基乳酸网片原位包裹保脾手术的效果及保脾手术后近期免疫功能的变化。方法 ２８ 例外伤性脾破裂患者采用可吸收聚羟基乳酸网片原位包裹保脾修补术，观测其手术效果及术后２ 年内ＩｇＧ、ＩｇＥ、ＩｇＡ、Ｃ３ 等免疫指标的变化，并复查Ｂ超、ＣＴ，了解脾脏成活情况。结果 ２７ 例外伤性脾破裂原位保脾手术均获成功，１ 例手术后３ 个月脾脏液化吸收，全组无严重并发症。手术后近期部分免疫功能指标一过性升高，６ 个月后恢复正常，与文献报道一致。结论 （１） 采用可吸收网片进行原位保脾手术是一种安全可靠的保脾术式，适应证可扩大到部分Ⅳ级脾破裂；（２） 外伤性脾破裂保脾手术近期免疫功能无明显改变。
Objective To investigate the effects of spleen neoplasty in situ with absorbable mesh of polyhydroxylactic acid on traumatic splenic rupture and the changes of immunological indexes after spleen neoplasty. Methods Spleen neoplasty in situ was made on 28 patients with traumatic splenic rupture with absorbable mesh of polyhydroxylactic acid, and the effects of the operation and immunological indexes were measured two years after operation .Results The spleen neoplasty in situ was a success in 27 cases and the spleen was absorbed in 1 case. There was no severe complication in all 28 cases. Some immunological indexes increased temporarily during short time after the operation and recovered to normal level after 6 months,which was similar to the references. Conclusions Spleen neoplasty in situ with absorbable mesh of polyhydroxylactic acid is a safe and reliable operative method for splenic rupture. And this method can be used in some spleen ruptures of grade Ⅳ.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1999年第6期436-438,共3页
Chinese Journal of Trauma
关键词
脾破裂
外科手术
免疫测定
聚羟基乳酸网片
Wounds and injuries Splenic rupture Surgery, operative Immunologic tests Absorbable mesh of polyhydroxylactic acid
