儿童保留脾脏手术34例  

Spleen preserving procedure in children

作　　者：蒋嘉萍[1] 易军[1] 刘大林[1] 李涛[1] 谷兴琳[1] 

机构地区：[1]南京市儿童医院普外科,210008

出　　处：《中华小儿外科杂志》2000年第3期165-166,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨儿童全部或部分保留脾脏的手术方式。方法　回顾 1982～ 1998年 32例外伤性脾破裂与 2例良性脾脏肿瘤施行全部或部分保留脾脏 4种手术方法。结果　术后 4周血清免疫测定值处于同地区同年龄组正常值低水平范围内 ,其中 3例术后第 3周内发生OPSI,另 1例全脾切除后 5年发生粘连性肠梗阻并发肠源性感染性休克 ,占同期脾切除患儿 5 % (4/ 80 )。34例行各种保留脾脏手术的患儿 ,包括 4例OPSI患儿全部治愈出院 ,并获得 90 .6 %长期随访 ,均健在。结论　全部或部分保留脾脏手术应予以提倡 ,并进一步探索新方法。Objective The feasibility of spleen preserving procedures in children with traumatic spleen rupture was evaluated.Methods Thirty-two children with traumatic spleen rupture and 2 children with benign splenic tumor were reviewed. Spenorrhaphy, subtotal splenectomy, partial and total spleen auto-transplantation were carried out. Results Post-operatively, three patients developed overwhelming post-splenectomy infection (OPSI) on the 3rd week. One child developed intestinal obstruction and septic shock 5 years post-operatively. All patients, including the children with OPSI, recovered and were discharged. Thirty ( 90.6% ) patients were followed-up for 6.5 years (0.5 to 13 years).Conclusion The authors advocate spleen preserving procedures in spleen rupture in children.

关 键 词：脾破裂 保留脾脏手术 儿童 

分 类 号：R726.5[医药卫生—儿科]