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探讨外伤性脾脏破裂患者采用保脾手术治疗的效果

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目的:探讨采用保脾手术治疗外伤性脾脏破裂的临床效果。方法选取2009年3月至2012年12月我院收治的外伤性脾破裂患者32例,均采用保脾手术治疗,对其临床资料进行回顾性分析。结果32例手术保脾的患者中,行脾修补术18例,脾部分切除术14例。1例死于与严重创伤相关的多器官功能衰竭,余31例患者均治愈出院,未行二次手术,术后行C T、B超等辅助检查进行随访,证实所保留的脾脏愈合良好。结论在严格掌握保脾治疗指征的前提下,保脾手术是安全、有效的治疗方法,对于在适应症范围内的外伤性脾破裂患者,应尽可能采用保脾治疗外伤性脾破裂。
Traumatic rupture of the spleen of patients with spleen preserving operation treatment
Objective To explore the clinical effect of spleen preserving operation by the treatment of traumatic spleen rupture. Methods 32 patients from 2009 March to 2012 December in our hospital were traumatic rupture of spleen, spleen preserving operation treatment were adopted, and the clinical data were retrospectively analyzed. Results of the 32 patients in the operation of preserving spleen, splenic repair was performed in 18 cases, partial splenectomy in 14 cases. 1 cases died of severe trauma associated with multiple organ failure, 31 patients were cured, not the two operation, postoperative CT, B ultrasound examinations were fol owed up, confirm the reserved spleen good healing. Conclusion under the strict control of spleen preserving treatment indications under the premise of spleen preserving operation, treatment method is safe, effective, for patients with ruptured in indications within the scope of the traumatic spleen, should as far as possible the use of spleen preserving treatment of traumatic splenic rupture.

traumatic rupture of spleen preserving operationcurative effect

金基太

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吉林省敦化市医院普外科 133700

外伤性脾破裂 保脾手术 疗效

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(3)
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