脾动脉栓塞联合腹腔镜巨脾切除术的临床应用  

Clinical Application of Splenic Artery Embolization Combined with Laparoscopic Splenectomy for Treatment of Giant Spleen

作　　者：杨毅[1] 肖群[1] 唐华勇[1] 陈小雪[1] 贺彦宇[1] 袁通立[1] YANG Yi;XIAO Qun;TANG Huayong;CHEN Xiaoxue;HE Yanyu;YUAN Tongli(The First Affiliated Hospital of Hunan College of Traditional Chinese Medicine,Zhuzhou 412000,China;不详)

机构地区：[1]湖南中医药高等专科学校附属第一医院,湖南株洲412000

出　　处：《中外医学研究》2020年第16期117-119,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：湖南省医药卫生科研计划项目(B2016003)。

摘　　要：目的:研究脾动脉栓塞联合腹腔镜巨脾切除术的临床应用。方法:回顾性分析2014年1月-2019年6月于湖南省中医药高等专科学校第一附属医院行脾动脉栓塞联合腹腔镜巨脾切除术20例患者的临床资料。结果:20例患者中转开腹手术1例,完成腹腔镜巨脾切除术19例;围手术期接受异体输血4例;手术时间140~400 min,平均(240±65)min;术中出血量50~800 ml,平均(222±184)ml;术后首次肛门排气时间2~4 d,平均(2.7±0.6)d;术后住院时间7~26 d,平均(12.8±4.6)d;无出血、胰瘘等并发症。结论:对于血小板过低患者,术前进行充分评估后施行脾动脉栓塞联合腹腔镜巨脾切除术是安全、有效的,且临床疗效满意。Objective:To study the clinical application of splenic artery embolization combined with laparoscopic splenectomy for treatment of giant spleen.Method:The clinical data of 20 patients who underwent splenic artery embolization combined with laparoscopic splenectomy in the First Affiliated Hospital of Hunan College of Traditional Chinese Medicine from January 2014 to June 2019 were retrospectively analyzed.Result:Among the 20 cases,1 case was converted to open surgery,and 19 cases completed laparoscopic splenectomy.Four patients received allogeneic blood transfusion during the perioperative period.The operation time was 140 to 400 min,with an average of (240±65) min.Intraoperative blood loss was 50 to 800 ml,with an average of (222±184) ml.The first anal exhaust time after operation was 2 to 4 days,with an average of (2.7±0.6) days.The hospital stay after operation was 7 to 26 days,with an average of (12.8±4.6) days.There were no complications of bleeding or pancreatic fistula.Conclusion:For patients with low platelet count,splenic artery embolization combined with laparoscopic splenectomy after adequate preoperative evaluation is safe and effective,and the clinical efficacy is satisfactory.

关 键 词：腹腔镜 脾切除术 巨脾 脾动脉栓塞 

分 类 号：R657.6[医药卫生—外科学]