脾脏血管介入联合加速康复外科理念在脾脏创伤中的运用  

Splenic vascular surgical intervention combined wti hf ast track surgery in spleen trau ma

作　　者：刘兴东[1] 蒋延美 赖景奎 杨波[1] 刘洪[1] 罗友琛 

机构地区：[1]四川省彭州市人民医院,四川成都611930

出　　处：《中国伤残医学》2016年第4期1-2,共2页Chinese Journal of Trauma and Disability Medicine

基　　金：成都市青年基金,项目编号（201456）

摘　　要：目的：探讨应用血管介入联合加速康复外科理念（ Fast track surgery，FST）救治外伤性脾破裂患者的可行性。方法：对照组15例诊断为外伤性脾破裂患者行常规DAS脾动脉栓塞止血治疗，FST组15例联合加速康复外科理念救治，观察患者术后进食时间，腹胀腹痛缓解时间，肛门排气时间，住院时间，住院费用。结果：30例均保留脾脏成功，进食时间早，术后恢复相对较快，其中4例出现术后发热。结论：DSA血管介入栓塞保留脾脏是一种简单，损伤小，联合加速康复外科相关理念患者术后进食时间早，康复快，疼痛减轻，相对安全，住院费用降低，具有一定临床价值。Objective：To evaluate the feasibility of splenic vascular surgical intervention combined with fast track surgery for treatment of patients with traumatic rupture.Methods：The control group of 15 patients was diagnosed as traumatic rupture underwent conventional DAS splenic artery embolization therapy, FST group 15 cases where the concept of joint fast track surgery, postoperative observation time eating, bloating, abdominal pain time, flatus, length of stay, hospital costs.Results：30 cases were successfully retained spleen, eating earlier, relatively rapid postoperative recovery, including four cases of postoperative fever.Conclusion：DSA splenic artery embolization retention should be a simple, small damage, joint with FST patients related to the concept of eating time early, rapid recovery, pain relief, relative safety, reduce hospital costs, might have some clinical value.

关 键 词：脾破裂 血管介入 加速康复外科 微创 

分 类 号：R657.6[医药卫生—外科学]