摘要
目的 探讨严重创伤性脾破裂保脾手术治疗的方法及效果。方法 回顾性分析严重创伤性脾破裂 31例保脾手术治疗的临床资料 ,6例行脾动脉结扎 +修补缝合术 ,13例行脾动脉结扎 +部分切除术 ,12例行脾切除 +大网膜自体脾组织移植术。全部获得随访 ,随访时间 1～ 5年。结果 本组全部治愈出院 ,无手术死亡病例。术后均恢复劳动能力 ,无感染易感性增加 ,B超检查提示 :脾动脉结扎者无脾梗死情况 ,脾切除 +大网膜自体脾组织移植者在移植部位可见脾组织回声波。结论 对严重创伤性脾破裂病例 ,行脾动脉结扎 +修补缝合或部分切除术是可行的 ,即能迅速有效地控制脾破裂出血 ,又能维持脾脏功能。脾切除 +大网膜自体脾组织移植术是全脾切除术后弥补脾功能的有效方法。
Objective:To investigate the method and effect of reserved splenectomy on severe traumatic spleen rupture.Methods:31 cases of severe traumatic spleen rupture were retrospectively analyzed. 6 cases were treated by ligating spleen artery with splenorrhaphy, 13 cases by ligating spleen artery with partial splenectomy, 12 cases by splenectomy with autologals spleen transplantation in epiploon, follow-up of all patients was completed from 1 year to 5 years. Results:All patients recovered. No patients died from surgical operation. Patients could work after operation and the susceptibility to disease didn't increase. B supersonic inspection showed that: splenic infarction didn't exist in patients treated with binding spleen artery, echo sound was heard from transplanted spleen in patients treated with splenectomy and autologous speen transplantation in epiplom.Conclusions: It is feasible for patients with severe traumatic spleen rupture to treat by ligating spleen artery with autologous spleen transplantaion in epiploon,which can efficiently control hemorrhage and maintain the function of spleen.Splenectomy with autologous spleen transplatation in epiploon is an efficient method to make up furthur function of spleen after splenectomy.
出处
《中国现代医学杂志》
CAS
CSCD
2004年第4期50-52,56,共4页
China Journal of Modern Medicine
关键词
脾破裂
脾动脉结扎
脾部分切除术
Spleen rupture
Spleen artery ligation
Partial splenectomy
