选择性脾动脉栓塞术在外伤性脾破裂中的疗效观察  

Effect of selective splenic arterial embolization in traumatic splenic rupture

作　　者：王军[1] 

机构地区：[1]海南医学院附属医院创伤医学中心,海南海口570102

出　　处：《中国现代普通外科进展》2015年第12期946-948,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的 :探讨选择性脾动脉栓塞术(PSAE)在外伤性脾破裂救治中的临床效果。方法 :回顾性分析急诊入院的81例外伤性脾破裂患者的临床资料,根据手术方式分为手术组和介入组,比较两组患者手术情况、术后相关实验室指标及术后并发症发生情况。结果:介入组手术时间、术中输血量、卧床时间、术后排气时间、住院时间均显著低于手术组,差异具有统计学意义(P<0.05)。介入组与手术组术后第1、3个月的血小板计数、红细胞计数、血浆粘度、血沉、红细胞聚集指数、红细胞变形指数、血淋巴细胞计数、免疫球蛋白IgM、IgG比较差异均无统计学意义(P>0.05)。介入组手术并发症发生率为10.26%(4/39),低于手术组的28.57%(12/42),差异具有统计学意义(P<0.05)。结论:PSAE治疗外伤性脾破裂具有手术时间短、创伤小、并发症发生率低的优势,术后脾脏功能与脾修补术效果相当。Objective： To investigate the clinical effect of selective splenic arterial embolization in treatment of traumatic splenic rupture. Methods： Retrospective analysis of clinical data of 81 patients with traumatic splenic rupture admitted to emergency department, according to the operation mode is divided into operation group（42 cases）and interventional group（selective splenic artery embolization 39 cases）, compared with two groups of patients with operation, postoperative related laboratory index and postoperative complications. Results＇. The operation time, blood transfusion amount, bed time, postoperative exhaust time and hospital stay were significantly lower in the intervention group than in the operation group, and the difference was statistically significant （P〈0.05）. Interventional group and surgical group postoperative 1 month and 3 months of platelet count, erythrocyte count, plasma viscosity, erythrocyte sedimentation rate, red blood cell aggregation index, erythrocyte deformation index, lymphocyte count, immunoglobulin IgM, IgG, the difference was not statistically significant （P〉0.05）. The incidence of complications in the intervention group was 10.26% （4/39）, which was lower than that of the operation group （12/42）, and the difference was statistically significant（P〈0.05）. Conclusion： Selective splenic artery embolization in treating traumatic splenic rupture has the advantages of short operation time, less trauma and less complications, and it is very effective in the treatment of splenic function and splenic repair.

关 键 词：外伤性脾破裂 选择性脾动脉栓塞术 脾修补术 

分 类 号：R657.62[医药卫生—外科学]