意外性脾破裂的手术修复  

Surgical repair of accidental spleen laceration

作　　者：刘焕军[1] 

机构地区：[1]滨州医学院烟台附属医院普外一科,山东烟台264100

出　　处：《中国医药科学》2012年第14期238-239,共2页China Medicine And Pharmacy

摘　　要：目的探讨意外性脾破裂的手术修复资料方法及效果。方法回顾性分析笔者所在医院2010年12月～2011年5月收治的50例意外性脾破裂患者的临床资料,患者均采用保脾手术修复治疗,总结患者的治疗效果。结果 50例患者中有5例出现切口感染,均经对症治疗后痊愈,无死亡患者。术后随访效果满意,患者术后IL-2及NK细胞活性与术前比较差异无统计学意义(P>0.05)。结论保脾手术修复治疗意外性脾破裂效果较好,能较好的保持脾脏的免疫调节功能,应该尽量的保留脾脏。Objective To investigate the methods and effect of accidental spleen laceration of surgery to repair material.Methods The clinical data of 50 patients with accidentally spleen laceration of our hospital were analyzed retrospectively from December 2010 to May 2011.All patients were treated with the treatment of keeping the surgical.Summarize the treatment effect of the group.Results 5 cases of 50 patients appeared incision infection.All were healthy after symptomatic treatment with no deaths.Patients were followed up with satisfactory effect.Compared with preoperative,IL-2 and NK cell activity of the patients had no statistically significant（P 0.05）.Conclusion The spleen surgery to repair treatment accident spleen rupture effect is well.It can keep spleen immune adjustment function,and the treatment should try to keep the spleen.

关 键 词：脾破裂 手术修复 治疗 效果 

分 类 号：R657.62[医药卫生—外科学]