介入栓塞与外科手术治疗外伤性脾破裂效果的对比研究  

A comparative study on the effect of interventional embolization and surgical treatment for traumatic splenic rupture

作　　者：吴亮[1] 王林友[1] 华浅近[1] 

机构地区：[1]台州学院医学院附属台州市立医院介入放射科,浙江 台州318000

出　　处：《实用放射学杂志》2017年第4期600-602,607,共4页Journal of Practical Radiology

摘　　要：目的 探讨急诊介入栓塞在外伤性脾破裂中的治疗价值.方法 对本院45例外伤性脾破裂患者的临床资料进行回顾性分析,其中29例行DSA下脾动脉选择性栓塞术（介入组）,16 例行手术切除或修补术（手术组）. 结果 比较2组资料：①手术时间、住院天数指标,介入组明显优于手术组（P〈0.05）;②术后发热及胸腔积液发生率,手术组低于介入组（P〈0.05）;③术后腹痛指标,2组无显著差异（P〉0.05）;④与手术组比较,介入组术后远期并发症少,无须长期抗凝治疗.结论 介入栓塞治疗外伤性脾破裂安全、有效,术后并发症较少,介入栓塞治疗提高了脾脏保存率.Objective To investigate the value of emergency interventional embolization in the treatment of traumatic splenic rupture.Methods Clinical data of 45 patients with traumatic splenic rupture in our hospital were analyzed retrospectively.Selective splenic artery embolization （embolization group） was performed in 29 patients guided by DSA,and surgical resection or repair operation （operation group） was performed in 16 patients.Results Data of two groups were compared：①For operation time and length of hospital stay,the intervention group was significantly better than the operation group （P〈0.05）;②For incidence of postoperative fever and pleural effusion,the operation group was lower than the intervention group （P〈0.05）;③For the postoperative abdominal pain index,there was no significant difference between the two groups （P〉0.05）;④Compared with the operation group,patients in the intervention group had less long-term complications,and did not require long-term anticoagulation therapy.Conclusion Interventional embolization in the treatment of traumatic splenic rupture is safe and effective, and has less postoperative complications.The interventional embolization improves spleen preservation rate and improved the life quality.

关 键 词：外伤性脾破裂 栓塞 介入治疗 脾脏切除术 

分 类 号：R657.62[医药卫生—外科学] R815[医药卫生—临床医学]