可吸引冲洗电凝棒在创伤性脾破裂术中的应用价值  

Application value of suction-flushing electric coagulation in surgery of traumatic splenic rupture

作　　者：黄子明 刘磊[2] 葛恒发[1] Huang Ziming;Liu Lei;Ge Hengfa(Department of Trauma Center,the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University,Jiangsu Huai'an 223300,China;Department of Hepatobiliary Surgery,the Ajfiliated Huai'an No.1 People's Hospital of Nanjing Medical University,Jiangsu Huai'an 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院创伤中心,江苏淮安223300 [2]南京医科大学附属淮安第一医院肝胆外科,江苏淮安223300

出　　处：《中国医师进修杂志》2020年第11期987-990,共4页Chinese Journal of Postgraduates of Medicine

基　　金：南京医科大学科技发展基金(NMUB2019350)。

摘　　要：目的:探讨可吸引冲洗电凝棒在创伤性脾破裂术中的应用价值。方法:回顾性分析2013年1月至2019年12月南京医科大学附属淮安第一医院31例采用可吸引冲洗电凝棒治疗的创伤性脾破裂患者的临床资料。结果:31例患者术中出血100~1200(551±90)ml,手术时间60~210(113±36)min,术后腹腔引流总量120~650(367±66)ml。行脾破裂电凝止血5例,脾破裂全脾切除25例,合并胰体横断伤行保脾手术1例。患者随访1~6个月,无脾梗死、脾脏感染及门静脉血栓发生。结论:在创伤性脾破裂保脾术及脾切除术中,可吸引冲洗电凝棒在针对脾脏裂伤及后腹膜的电凝止血治疗中使用便捷、有效,可降低术中及术后出血的风险,安全可行。Objective:To explore the application value of the suction-flushing electric coagulation in surgery of the traumatic splenic rupture.Methods:The clinical data of 31 patients with traumatic splenic rupture in the Affiliated Huai′an No.1 People′s Hospital of Nanjing Medical University from January 2013 to December 2019 were retrospectively analyzed.All patients were treated with suction-flushing electric coagulation.Results:The intraoperative hemorrhage was 100 to 1200(551±90)ml,the operative time was 60 to 210(113±36)min,and the postoperative fluid drainage volume was 120 to 650(367±66)ml.All patients recovered successfully after surgery,electrocoagulation hemostasis was performed in 5 patients with splenic rupture,25 patients with total splenectomy,and spleen preserving surgery in 1 patient with spleen preserving surgery after pancreatic body transection.There were no splenic infarction,splenic infection and portal vein thrombosis after 1 to 6 months′follow-up.Conclusions:Suction-flushing electric coagulation is convenient and effective in the treatment of traumatic splenic rupture.

关 键 词：脾破裂 脾切除术 腹腔镜 电凝术 保脾术 

分 类 号：R657.62[医药卫生—外科学]