创伤性脾破裂脾切除与保脾治疗42例疗效对比  

Comparative efficacy of splenectomy and spleen preserving treatment of traumatic splenic rupture(A report of 42 cases)

作　　者：吴永亮[1] 杨明威[1] 

机构地区：[1]增城市新塘医院,广东增城511340

出　　处：《基层医学论坛》2015年第16期2175-2176,共2页The Medical Forum

摘　　要：目的对比分析脾切除术与保脾治疗在创伤性脾破裂中的临床疗效。方法将我院收治的42例创伤性脾破裂患者随机分为脾切除组和保脾组,分别采用开腹全脾切除手术和非手术治疗或保脾手术进行治疗,对临床资料进行统计分析。结果脾切除组的下床活动时间、住院时间明显短于保脾组(P<0.05),而两者在输血量、平均住院费用、治疗有效率和并发症发生率方面对比差异无统计学意义(P>0.05)。结论对于程度较轻的创伤性脾破裂,全脾切除与保脾治疗均可获得较好的治疗效果,临床上应分析脾损伤程度,慎重选择适合的治疗方案。Objective To analyse the treatment effect of splenectomy and spleen preservation for traumatic spleen rupture comparatively. Methods 42 patients with splenic injuries were included in our hospital.They were randomly divided into splenectomy group and spleenpreservation group respectively.Splenectomy group took open splenectomy. Spleen preservation group took non-surgical methods and sleen-preserving surgery. Compare the clinical data for statistical analysis. Results Ambulation time,hospital stay of splenectomy group was significantly shorter than that of spleen preservation group （P0.05）.Conclusion Splenectomy and spleen preservation both can get good treatment effects for lesser degress traumatic spleen rupture. The damage degree of the spleen should be analysed carefully in clinical. Appropriate treatment plan should be selected cautiously.

关 键 词：创伤性脾破裂 脾切除 保脾 疗效对比 

分 类 号：R657.62[医药卫生—外科学]