外伤性脾破裂保脾技术的临床应用  

Clinical application of spleen-preservation techniques for splenic injury

作　　者：王国梁[1] 梁辉[1] 丁强[1] 

机构地区：[1]南京医科大学第一附属医院普外科,江苏南京210029

出　　处：《中国普通外科杂志》2002年第12期716-718,共3页China Journal of General Surgery

摘　　要：目的　探讨脾保留性手术的临床应用。方法　总结近 1 0年来施行保脾治疗的 78例临床资料 ,其中单纯脾修补术 1 8例 ,脾动脉结扎加脾修补术 1 5例 ,脾部分切除术 1 3例 ,脾切除加自体脾移植术 32例。结果　均经治疗痊愈出院 ,术后未发生严重并发症 ,无手术死亡 ,随访脾功能满意。结论　脾保留性手术是治疗外伤性脾破裂安全。Objective To evaluate the application of operations of preserving spleen in the treatment of splenic injury. Methods Serial operations of preserving spleen were performed in 78 cases in the past 10 years. 18 treated with simple splenorrhaphy,15 with ligation of splenic artery and splenorrhaphy, 13 with partial splenectomy,and 32 treated with autoplasty of spleen. Results All the cases were cured with satisfactory followed-up results.Conclusion The operation of preserving spleen for splenic injury is safe and feasible.

关 键 词：外伤性脾破裂 保脾技术 临床应用 外科手术 治疗 

分 类 号：R657.62[医药卫生—外科学]