利用脾周韧带原位保脾手术治疗严重损伤性脾破裂13例  

Splenic salvage in situ using perisplenic ligaments in the treatment of severe traumatic splenic rupture:Report of 13 cases

作　　者：谭东新[1] 黄捷[1] 石宝秋[1] 

机构地区：[1]广西壮族自治区人民医院一分院外科,南宁530001

出　　处：《中国临床新医学》2009年第10期1096-1097,共2页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨利用脾周韧带侧支循环行部分原位保脾治疗严重损伤性脾破裂的可行性。方法对13例脾门严重损伤性脾破裂患者行脾蒂结扎,保留上或/和下极、不规则脾大部切除术。结果手术均获成功,无术后并发症,残脾功能恢复良好。结论利用脾周韧带作部分原位保脾治疗脾门严重损伤性脾破裂是可行的。Objective To explore the feasibility of splenic salvage in situ using collateral vessels of perisplenic ligaments in the treatment of severe traumatic splenic rupture. Methods Thirteen cases of severe traumatic splenic rupture with injured splenic hilum underwent splenic pedicle ligation and irregular greater partial splenectomy preserving the splenic upper pole or/and the splenic lower pole. Results All the operation were successful, no cases occurred complication, the function of residual spleen recovered well. Conclusion The partial splenic salvage in situ using perisplenic ligaments in the treatment of severe traumatic splenic rupture with injured splenic hilum is feasible.

关 键 词：脾破裂 脾周韧带 原位保脾 

分 类 号：R657.6[医药卫生—外科学]