Effects of selective splenic artery embolization and splenorrhaphy in emergency treatment of traumatic splenic rupture and its influences on trauma response and rehabilitation
Objective To explore effects of selective splenic artery embolization and splenorrhaphy in emergency treatment of traumatic splenic rupture and its influences on trauma response and rehabilitation.Methods A total of 70 patients with traumatic splenic rupture admitted from January 2021 to January 2023 were selected as the research objects.According to the difference of surgical plan,the patients were divided into group A and group B,with 35 cases in each group.The group A was given selective splenic artery embolization,and the group B was given splenorrhaphy.The therapeutic effects of the two groups were compared.Results The operation time,postoperative first exhaust time,postoperative first ambulation time and hospitalization time of the group A were shorter than those of the group B,and the intraoperative blood loss was less than that of the group B(P<0.05).After operation,the levels of cortisol(Cor),aldosterone(ALD)and adrenocorticotropic hormone(ACTH)in the group A were lower than those in the group B(P<0.05).After operation,the CD3+,CD4+and CD4+/CD8+in the group A were higher than those in the group B(P<0.05).The total incidence of complications in the group A was lower than that in the group B(P<0.05).Conclusion Selective splenic artery embolization and splenorrhaphy have good surgical results in the treatment of traumatic splenic rupture,but the former is more helpful to shorten the operation time,promote rapid postoperative recovery of patients,decrease intraoperative blood loss,relieve trauma response,and reduce the impact on immune function and incidence of postoperative complications.
万方数据
维普
