分析比较脾切除与保脾治疗在创伤性脾破裂中的效果  

Effect of splenectomy and spleen preserving therapy on traumatic splenic rupture

作　　者：黄小兵 叶俊杰 敖立冬 HUANG Xiaobing;YE Junjie;AO Lidong(Jiangcheng District People's Hospital,Yangjiang 529500,China)

机构地区：[1]广东省阳江市江城区人民医院,广东阳江529500

出　　处：《中国医药科学》2017年第13期201-203,共3页China Medicine And Pharmacy

摘　　要：目的分析比较脾切除与保脾治疗在创伤性脾破裂中的效果。方法选取我院2003年1月~2016年1月收治的创伤性脾破裂患者60例,根据治疗方式的不同,分为观察组和对照组各30例。对照组采用保脾治疗,观察组采用脾切除进行治疗,对比两组患者的治疗效果、临床指标及并发症发生率等。结果观察组患者总有效率为93.33%,对照组患者的总有效率为70.00%,观察组患者有效率明显高于对照组患者,组间差异明显,具有统计学意义(P<0.05);观察组患者下床活动时间(1.89±1.08)d、住院时间(9.79±4.27)d、并发症发生率(6.67%)低于对照组患者下床活动时间(6.12±2.15)d、住院时间(14.26±3.45)d、并发症发生率(16.67%),组间比较差异具有统计学意义(P<0.05);两组患者在输血量、住院费用方面比较差异无统计学意义(P>0.05)。结论脾切除与保脾治疗对创伤性较轻脾破裂均有良好的临床疗效,临床实践中要综合分析患者的实际情况,选择合理的治疗方式。Objective To analyze and compare the effect of splenectomy and spleen preserving therapy on traumaticsplenic rupture.Methods60cases of traumatic splenic rupture patients cured in our hospital from January2013toJanuary2016were selected and divided into observation group and control group with30cases in each according todifferent treatment method.Patients in control group were treated with spleen preservation,and patients in observationgroup were treated with splenectomy.Treatment effect,clinical index and complication rate of the two groups werecompared.Results The total effective rate of the observation group was93.33%,the total effective rate of the controlgroup was70%,and the effective rate of the observation group was significantly higher than that of the control group,thedifference was statistically significant(P<0.05).The ambulation time(1.89±1.08)d,hospitalization time(9.79±4.27)d,theincidence of complications(6.67%)of patients in the observation group were lower than the ambulation time(6.12±2.15)d,hospitalization time(14.26±3.45)d,the incidence of complications(16.67%)of patients in the control group.There wassignificant difference between the two groups(P<0.05),and there was statistical significance.There was no significantdifference between the two groups in the amount of blood transfusion and hospitalization expenses(P>0.05),and theywere not statistically significant.Conclusion Both splenectomy and preserving spleen treatment have better clinicaleffect on traumatic rupture of spleen.In clinical practice,the actual situation of patients should be comprehensivelyanalyzed,and reasonable treatment methods should be chosen.

关 键 词：脾切除 保脾治疗 创伤性脾破裂 

分 类 号：R657.62[医药卫生—外科学]