脾动脉结扎伴大网膜填塞保脾72例  

Splenic artery ligation,gastrocolic omentum plugging in combination with spleen conserving operations for the treatment of spleen traumatic rupture in 72 patients

作　　者：余国生 赵占先 黄有清[1] 张静[1] 

机构地区：[1]解放军第一医院普外科,兰州730030

出　　处：《临床外科杂志》2006年第7期425-426,共2页Journal of Clinical Surgery

摘　　要：目的 探讨外伤性脾破裂既能控制伤脾出血、保留脾脏，又能保证脾脏生理功能的手术方式。方法 对72例外伤性脾破裂采用脾动脉结扎及大网膜填塞脾破裂121缝合修补治疗。结果 保脾组均获得成功，术后均未出现再出血。其中42例经1～5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 investigate the improvement of operative methods for the treatment of spleen traumatic rupture, which can not only control hemorrhage due to splenic rupture, but also conserve the function of spleen. Methods Seventy - two cases of traumatic rupture of spleen received splenic artery ligation, gastrocolic omentum plugging and suture and repair of rupture. Results Postoperative haemorrhage didn not occur in the patients subject to spleen conserving operations. Among them, 42 cases were followed up for 1 - 5 years with satisfactory results. B - ultrasound and CT examinations showed abnormalities in the anatomic form of spleen in these patients. Conclusion The method of the operation is easy to be manipulated. It＇s good choice for the treatment of splenic rupture and has perfect curative effects.

关 键 词：脾破裂 保留脾脏 脾动脉结扎 大网膜填塞 

分 类 号：R657.62[医药卫生—外科学]