脾损伤修补和部分切除术手术方法的探讨(附42例报道)  

Approach of splenorrhaphy and partial splenectomy on spleen injury(report of 42 cases)

作　　者：于柏龙[1] 袁权利[1] 王军[1] 袁庆鑫[1] 

机构地区：[1]河北医科大学附属唐山工人医院创伤科,河北唐山063000

出　　处：《中国现代医学杂志》2007年第17期2148-2149,2153,共3页China Journal of Modern Medicine

摘　　要：目的探讨脾损伤的外科处理原则和脾损伤修补及部分切除手术要点。方法分析该院1995年1月～2005年12月保留脾脏手术42例,吸取其中的主要成功经验和体会。结果42例患者脾损伤Ⅰ级7例,Ⅱ级24例,Ⅲ级11例,术前休克35例,术中经网膜囊控制脾蒂,驱血法修补和部分切除脾脏,行单纯脾修补14例,行部分(含半脾)切除20例,行部分切除+修补8例,全部病例临床治愈,术后2周～3个月行CT检查35例,证实保留脾脏存活。结论经网膜囊控制脾蒂,驱血法进行脾脏修补和部分切除,对脾损伤手术切实可行。[Objective] To evaluate general principles for management of splenic injury and main points of splenorrhaphy and partial spleneetomy. [Methods] the data of 42 cases operation on spleen-reserved from Jan 1986 to Dec 2004 was analyzed. Main succeed experience and comprehend was drawn. [Results] Fourty-two patients were classified as grade Ⅰin 7 cases, grade Ⅱ in 24 cases, and grade m in llcases. And 35 patients had shock before operation, splenorrhaphy and partial splenectomy was feasible by griping stem of spleen through omental bursa and exsanguination. The simple repairs were performed for 14 cases, partial splenectomy including half splenectomy were performed for 20 cases, and both of them were performed for 8 cases. Total cases were cured. CT was run with 35 postoperative cases after two weeks to three months. It confirmed that spleen-reserved were survival. [ Conclusion] splenorrhaphy and partial splenectomy are feasible by griping stem of spleen through omental bursa and exsanguinations.

关 键 词：脾 脾损伤 脾修补术 脾脏部分切除术 手术技术 

分 类 号：R657.6[医药卫生—外科学]