摘要
目的 探讨薇乔可吸收网片 (聚糖乳酸复合物 910 )在急诊外伤性脾破裂保脾手术中的应用及术后近期免疫功能的变化。方法 收集 16例急诊外伤性脾破裂患者采用薇乔网片脾原位包裹荷包缝合术 ,评估其手术效果及 1年内IgG、IgM、T细胞亚群等免疫指标的变化 ,复查B超、CT了解脾脏形态学的变化。结果 16例外伤性脾破裂患者采用薇乔网片脾原位包裹荷包缝合术均获成功 ,手术后免疫功能逐渐恢复正常 ,形态学显示脾脏无明显改变。结论 采用薇乔网片脾原位包裹荷包缝合术是一种安全有效保脾术式 ,可用于Ⅱ～Ⅲ级及部分Ⅳ级外伤性脾破裂。而且 ,术后脾脏免疫功能逐渐恢复正常 ,形态学亦无明显改变。
AIM To probe into use of absorbable vicryl (polyglactin 910) mesh in acute traumatic spleen and the change of immunological indexes after spleen neoplasty. METHODS Spleen neoplasty in situs was made on 16 patients with traumatic splenic rupture with absorbable vicrul mesh, and the effects of the operation and immunological indexes were evaluate one year after operation. RESULTS The spleen neoplasty in situs was a success in 16 cases and immunological indexes were gradually recovered to normal level after operation. The shape of spleen can not change. CONCLUSION Spleen neoplasty in situs with absorbable vicryl mesh is a safe and reliable operative method for traumatic splenic rupture as well as this method can be used in spleen ruptures of grade Ⅱ～Ⅲ and some Ⅳ.
出处
《安徽医药》
CAS
2001年第2期116-117,共2页
Anhui Medical and Pharmaceutical Journal
关键词
外伤性脾破裂
急诊手术
薇乔网片
免疫测定
traumatic splenicrupture
acute operative
vicryl mesh
immunologic test
