外伤性脾破裂32例治疗体会  

Treatment experience of traumatic splentic rupture in 32 cases

作　　者：李勇[1] 龚仁华[1] 孙登群[1] 李凯琅[1] 但震宇[1] 

机构地区：[1]武警安徽省总队医院普外科,合肥230041

出　　处：《国际外科学杂志》2013年第10期653-655,共3页International Journal of Surgery

摘　　要：目的 探讨外伤性脾破裂的治疗方法和临床效果.方法 回顾性分析32例脾破裂治疗的临床资料.结果 本组无死亡病例,6例保守治疗成功；18例行腹腔镜下探查后14例保脾成功,4例转开腹脾切除；直接开腹脾切除手术8例.结论 外伤性脾破裂的治疗,Ⅰ、Ⅱ级可根据情况行保守治疗或腹腔镜下保脾手术,Ⅲ、Ⅳ级脾破裂应及时行开腹脾切除手术.Objective To discuss the remedy and clinical effect of traumatic splentic rupture.Methods Clinical data of 32 cases of traumatic splentic rupture were retrospective analyzed.Results No dead cases,6 cases were cured by conservative treatment,18 cases were explored by laparoscope,and 14 cases remained spleen,4 cases were converted to traditionary splenectomy.Traditionary splenectomy was done on 8 cases directly.Conclusions Ⅰ,Ⅱ grade of traumatic splentic rupture may choose conservation treatment or remain spleen by laparoscope operation.Splenectomy should be done on Ⅲ,Ⅳ grade of traumatic splentic rupture in time.

关 键 词：脾破裂 腹腔镜 保守治疗 保脾 脾切除术 

分 类 号：R657.6[医药卫生—外科学]