Effectiveness and safety of splenic artery embolization and repair surgery for traumatic splenic rupture
[Objective]To observe the effectiveness and safety of splenic artery embolization and repair surgery in the treatment for traumatic splenic rupture.[Methods]This study is a prospective study which selected 108 patients with traumatic splenic rupture admitted in Nanyang Central Hospital between January 2022 and June 2023 as the study subjects.They were divided into a repair group (50 cases) and an intervention group (58 cases) based on different surgical indications.The repair group underwent splenic rupture repair surgery,while the intervention group underwent splenic artery embolization therapy.The treatment and recovery status,changes in blood,immune and surgical stress indicators,and the occurrence of postoperative complications of the two groups of patients were compared.[Results]Under different treatment plans,the surgical time,autologous blood transfusion volume,allogeneic blood transfusion volume,postoperative blood pressure recovery time,postoperative recovery exhaust time,and hospitalization time of the intervention group were 60.45±10.27 minutes,180.33±20.72 mL,450.36±50.77 mL,65.77±10.62 minutes,20.35±5.72 hours,and 13.55±3.46 days,lower than the repair group (90.45±20.72 min,205.36±30.62 mL,597.45±100.35 mlL,80.44±20.72 min,25.77±8.45 h,18.45±5.36 d) (P<0.05).After surgery,the PLT,Hb,and ALB of the intervention group were 120.36×109/L±20.73×109/L,141.24±20.69 g/L,45.77±10.36 g/L,higher than the repair group (106.72×109/L±20.33×109/L,126.44±20.62 g/L,40.33±10.28 g/L) (P<0.05).After surgery,the CD3+and CD4+levels in the intervention group were 62.44％±10.39％ and 37.65％±5.41％,higher than the repair group (57.33％±10.41％ and 34.28％±5.16％) (P<0.05),while CD8+(25.33％±5.16％) was lower than the repair group (22.41％±5.35％) (P<0.05).After surgery,the NE and Cor of the intervention group were 40.27±10.15 μg/L,273.55±20.74 nmol/L,lower than the repair group (45.69±10.27 μg/L,288.76±20.42 nmol/L) (P<0.05).The incidence of postoperative complications in the intervention group was 8.62％ (5/58),lower than that in the repair group[24.00％ (12/50)](P<0.05).[Conclusion]Splenic artery interventional embolization can effectively shorten the surgical time,reduce intraoperative blood transfusion,promote postoperative recovery,improve blood indicators,immune function,and reduce the risk of surgical stress or complications.
万方数据
维普
