腹腔镜治疗外伤性脾破裂的临床分析  

Clinical analysis of laparoscopy in the treatment of traumatic splenic rupture

作　　者：李英俊[1] 孙玉兰[1] 

机构地区：[1]新泰市人民医院,山东新泰271200

出　　处：《腹腔镜外科杂志》2009年第10期770-772,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜治疗外伤性脾破裂的手术方式及临床效果。方法:回顾分析2005年3月至2008年10月我院为37例外伤性脾破裂患者行腹腔镜治疗的临床资料,其中28例行完全腹腔镜保脾手术,4例行腹腔镜脾切除术,5例行"蓝碟"手辅助腹腔镜脾切除术。结果:37例手术均获成功,无中转开腹。手术时间45～120min,平均70min。26例单纯性脾破裂患者术后平均住院6d;11例有合并伤,平均住院13.5d。本组无死亡病例和并发症发生。结论:完全腹腔镜脾切除术或"蓝碟"手辅助腹腔镜脾切除术治疗外伤性脾破裂具有快速明确诊断、创伤小、操作安全、术后疼痛轻、康复快、并发症少、住院时间短等优点。Objective：To investigate operation methods and clinical effects of laparoscopy in the treatment of traumatic splenic rupture. Methods ： Clinical data of 37 cases who suffered from traumatic splenic rupture and were treated with laparoscopy between Mar. 2005 and Oct. 2008 were retrospectively analyzed. Results ： All operations were successfully performed without conversion to open surgery. The operative time was 45-120min （mean 70min）. The average postoperative hospital stay of 26 eases with simple traumatic splenic rupture was 6d,while that of 11 complieated traumatic splenic rupture was 13.5d. No postoperative death or complication was observed. Conclusions：Total or hand-assisted laparoscopic splenectomy was a promising option with rapid diagnosis,less trauma, fast recovery and fewer complications.

关 键 词：外伤性脾破裂 脾切除术 腹腔镜检查 

分 类 号：R657.62[医药卫生—外科学]