非手术治疗外伤性脾破裂  

NON-OPERATIVE MANAGEMENT OF SPLENIC INJURIES:A REPORT OF 88 CASES

作　　者：刘西山[1] 吕翔隆[1] 张波[1] 赵传杰[1] 贾树范[1] 刘茂荣[1] 王长辉[1] 胡宗泽[2] 

机构地区：[1]山东省聊城市第二人民医院,聊城252601 [2]山东省千佛山医院

出　　处：《肝胆外科杂志》2007年第4期272-274,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨非手术治疗外伤性脾破裂的可行性及适应证。方法回顾分析1998年以来我院非手术治疗88例外伤性脾破裂的临床资料及其治疗效果。结果88例均经B超检查确诊脾破裂,Ⅰ级损伤19例,Ⅱ级损伤57例,Ⅲ级损伤12例,其中部分病人合并肋骨骨折,肝肾损伤或颅脑损伤。3例中转手术。结论有选择的非手术治疗外伤性脾破裂是安全有效的治疗方法,轻度的肝肾损伤、腹腔外器官合并伤及病人的年龄并不影响非手术治疗的疗效。Objective To analysis the feasibility and indications of non - operative management for splenic injuries. Methods From 1998,88 cases with splenic injury were managed by non - operative methods in our hospital. The clinical data of these patients were reviewed retrospectively. Results All patients were clearly diagnosed by the abdominal B-us scans, 19 patients had grade Ⅰ injuries. 47 patients had grade II injuries. 12 patients had grade Ⅲ injuries. 27 patients had associated injuries,including rib fracture,liver and kidney injuries or craniocerebral trauma. Conclusion Non-operative management of splenic injuries is feasible and safe in a selected group of patients, which is independent of mild liver-kidney injuries, the associated exteriorisational injuries and the age of the patients.

关 键 词：脾破裂 非手术治疗 

分 类 号：R657.62[医药卫生—外科学]