分级脾蒂离断术在巨脾切除术中的应用  

Application of grading of splenic pedicle devascularization surgery in splenectomy

作　　者：杨文彬[1] 程传涛[1] 曹罡[1] 蔡锋[1] 

机构地区：[1]西安交通大学医学院附属第二医院普通外科,710004

出　　处：《临床外科杂志》2009年第4期236-237,共2页Journal of Clinical Surgery

摘　　要：目的分析脾蒂离断术在巨脾切除术中的作用。方法分析比较2001年至2008年我院在巨脾切除术中分级脾蒂离断术（离断组）与传统脾切除术（传统组）的临床资料。结果离断组脾热、胰瘘、胃瘘的发生率及术后住院时间低于传统组，出血量及手术时间两组差异无统计学意义。结论分级脾蒂离断术可降低巨脾切除术患者胰瘘、胃瘘发生率，减少术后住院时间，是一种值得推广的手术方式。Objective To analyze the application of splenic pedicle cardiac pericardial devaseularization in resection of megalosplenia. Methods The clinical data of the splenic pedicle stepwise cardiac pericardial devascularization （ amputation group ） vs the traditional splenectomy （ traditional group）were compared in out hospital from 2001 to 2008. Results The incidence of splenic fever,pancreatic fistula and gastric fistula was lower, and the hospital stay shorter in amputation group than in traditional group. There was no significant difference in blood loss and operative time between two groups. Conclusion Splenic pedicle cardiac pericardial devascularization can reduce the incidence of pancreatic fistula, gastric fistula, shorten postoperative hospital stay after resection of megalosplenia.

关 键 词：分级脾蒂离断术 脾切除 门静脉高压 胰瘘 

分 类 号：R657.6[医药卫生—外科学]