选择性脾动脉栓塞术治疗外伤性脾破裂临床分析  

Selective splenic artery embolization for clinical analysis of traumatic splenic rupture

作　　者：柏宇 肖世尧 石刚[2] 

机构地区：[1]江油九○三医院外二科,四川江油621700 [2]川北医学院附属医院普外科,四川南充637000

出　　处：《西部医学》2011年第3期513-514,共2页Medical Journal of West China

摘　　要：目的比较选择性脾动脉栓塞术与脾切除术治疗外伤性脾破裂的临床应用。方法回顾分析16例选择性脾动脉栓塞和42例手术治疗的外伤性脾破裂患者的临床资料。结果 12例Ⅰ、Ⅱ级损伤选择性脾动脉栓塞的患者均保脾成功,4例Ⅲ级以上脾破裂行选择性脾动脉栓塞的患者有2例转为开腹手术,选择性脾动脉栓塞成功率为87.5%(14/16)。选择性脾动脉栓塞成功的患者平均住院时间(7.5±2.0)d,开腹手术患者平均住院时间(12.3±3.6)d。58例中治愈56例,死亡2例。结论脾脏Ⅰ、Ⅱ级损伤采用保脾治疗,以选择性脾动脉栓塞术为主,Ⅲ级以上脾破裂以脾切除术为主。Objective The selective splenic artery embolization and splenectomy for traumatic rupture were analyzed.Methods The clinical data of 16 cases admitted to selective splenic artery embolization and surgical treatment of 42 cases of traumatic rupture were analyzed.Results 12 cases of grade Ⅰ,Ⅱ injury patients with selective splenic artery embolization were successfully preserving spleen,4 cases of grade Ⅲ above line rupture in patients with selective splenic artery embolization.2 patients were changed to open surgery.The success rate of selective splenic artery embolization was 87.5%（14/16）.The success of selective splenic artery embolization in patients with average length of stay（7.5±2.0） d,open surgery with an average length of stay（12.3±3.6） d.56 cases were cured and 2 cases died.Conclusion Spleen Ⅰ,Ⅱ grade injury treatment with spleen-preserving treatment to the main selective splenic artery embolization,Ⅲ and above the main rupture of the spleen resection.

关 键 词：脾破裂 选择性脾动脉栓塞 脾切除术 

分 类 号：R657.62[医药卫生—外科学]