脾动脉介入栓塞与外科手术治疗创伤性脾破裂的临床研究  

Clinical study of splenic artery interventional embolization and surgical surgery in the treatment of traumatic splenic rupture

作　　者：唐新员 彭辉 徐思华[2] 吴长华[2] 陈建忠 TANG Xinyuan;PENG Hui;XU Sihua;WU Changhua;CHEN Jianzhong(Department of General Surgery,Fuzhou Municipal Hospital,Fuzhou,Jiangxi,344000,China;Department of General Surgery,Fuzhou First People's Hospital,Fuzhou,Jiangxi,344000,China)

机构地区：[1]抚州市立医院普外科,江西抚州344000 [2]抚州市第一人民医院普外科,江西抚州344000

出　　处：《当代医学》2023年第19期107-109,共3页Contemporary Medicine

基　　金：抚州市2021年指导性科技计划项目(抚科计字〔2021〕7号序号88)。

摘　　要：目的探究脾动脉介入栓塞与外科手术治疗创伤性脾破裂的临床疗效。方法选取2020年5月至2021年8月于本院收治的60例创伤性脾破裂患者作为研究对象,按照随机红蓝球法分为对照组与观察组,每组30例。对照组予以常规外科手术,观察组予以脾动脉介入栓塞治疗,比较两组手术相关指标、术后血细胞指标及术后不良反应发生情况。结果观察组手术时间和住院时间均短于对照组,术后24 h血压高于对照组,差异有统计学意义(P<0.05);两组红细胞水平比较差异无统计学意义;观察组血小板计数、白细胞水平均低于对照组,差异有统计学意义(P<0.05);观察组术后不良反应发生率为6.67%,低于对照组的26.67%,差异有统计学意义(P<0.05)。结论与常规外科手术相比,脾动脉介入栓塞治疗创伤性脾破裂效果显著,能有效改善患者血细胞指标,缩短手术时间和住院时间,降低术后不良反应发生率,值得临床应用推广。Objective To explore the clinical efficacy of splenic artery interventional embolization and surgical surgery in the treatment of traumatic splenic rupture.Methods 60 patients with traumatic splenic rupture admitted to our hospital from May 2020 to August 2021 were selected as the study subjects,they were divided into the control group and the observation group according to the red and blue ball method,with 30 cases in each group.The control group received conventional surgical procedures,while the observation group received splenic artery interventional embolization treatment,the surgical related indicators,postoperative blood cell indicators,and postoperative adverse reactions were compared between the two groups.Results The operation time and hospitalization time in the observation group were shorter than those in the control group,and the postoperative blood pressure at 24 h was higher than that in the control group,the differences were statistically significant(P<0.05);there was no statistically significant difference in the levels of red blood cells between the two groups;the platelet counts and white blood cell in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05);the postoperative incidence of adverse reactions in the observation group was 6.67%,which was lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with conventional surgical procedures,splenic artery interventional embolization in the treatment of traumatic splenic rupture has significant effect,which can effectively improve patient blood cell indicators,shorten operation time and hospitalization time,and reduce the incidence of postoperative adverse reactions,which is worthy of clinical application and promotion.

关 键 词：创伤性脾破裂 脾动脉介入栓塞 手术时间 血细胞 不良反应 

分 类 号：R657.62[医药卫生—外科学]