脾动脉栓塞在急诊外伤性脾破裂治疗中的应用价值  

Effect of splenic artery embolization in the treatment of acute traumatic splenic rupture

作　　者：黄大钡[1] 李晓群[1] 张勇[1] 

机构地区：[1]中山市人民医院介入治疗室,广东528403

出　　处：《创伤外科杂志》2011年第6期504-506,共3页Journal of Traumatic Surgery

摘　　要：目的评价脾动脉栓塞在急诊外伤性脾破裂治疗中的应用价值。方法采用Seldinger技术经皮穿刺股动脉,经脾动脉造影,根据脾脏受损程度行脾动脉栓塞治疗急诊外伤性脾破裂101例。结果术后患者均有左上腹轻度胀痛,左侧胸腔积液56例,腹膜后血肿5例,脾脓肿1例,胰腺炎1例,左下肺膨胀不全1例。96例急诊外伤性脾破裂止血效果明显,保脾成功,其中22例同时行其他受损脏器的出血动脉栓塞术;5例脾脏恢复正常大小,密度均匀;平均住院时间为8.75天,随访结果满意。结论脾动脉栓塞有良好的止血作用,可避免切除脾脏,有效保留脾脏免疫功能,是治疗急诊外伤性脾破裂的有效方法。Objective To evaluate the value of splenic artery embolization（SAE） in the treatment of acute traumatic splenic rupture（ATSR）.Methods Totally 101 patients with acute traumatic splenic rupture were performed splenic artery embolization by Seldinger＇s technique.Results Distending pain in the left upper abdomen was observed in all patients.Left pleural effusion was observed in 56 cases,retroperitoneal hematoma in 5 cases,spleen abscess in 1 case,pancreatitis in 1 case,and left lower pulmonary atelectasis in 1 case.Totally 96 patients with ATSR obtained good haemostasis effect,successfully achieving the spleen preserving,22 patients of whom were performed artery embolization in the other ruptured organs,achieving 5 normal spleen.The average time of hospitalization was 8.75 days,followed up with satisfactory results after interventional operation.Conclusion SAE can well prevent bleeding,preserve the spleen and keep the immunological function of spleen,which is an effective method of treating rupture of spleen.

关 键 词：脾破裂 脾动脉 动脉栓塞 

分 类 号：R657.62[医药卫生—外科学]