CAJ | 학술논문

本文总结脾脏外科的沿革与展望.沿革的动力关键是在临床实践中对多种脾脏功能(抗感染、抗癌及对某些血液的影响)认识的逐渐深入,从而导致脾外伤时各种保脾手术的兴起.但在肝硬化门脉高压时保脾与切脾各有利弊,孰优尚无定论.腹腔镜切脾是近年的重大技术进展,其标准术式有待进一步探讨.脾移植治疗血友病甲是我国脾外科的特色之一,居国际领先,研究重点是如何防止慢性移植脾失功.展望未来,宜继续上述各方面研究,并加强学术交流,使我国的脾外科进入国际先进学科行列.
본문총결비장외과적연혁여전망.연혁적동력관건시재림상실천중대다충비장공능(항감염、항암급대모사혈액적영향)인식적축점심입,종이도치비외상시각충보비수술적흥기.단재간경화문맥고압시보비여절비각유리폐,숙우상무정론.복강경절비시근년적중대기술진전,기표준술식유대진일보탐토.비이식치료혈우병갑시아국비외과적특색지일,거국제령선,연구중점시여하방지만성이식비실공.전망미래,의계속상술각방면연구,병가강학술교류,사아국적비외과진입국제선진학과행렬.
To summarize the evolution of spleen surgery and prospects the future. The knowledge on the splenic function (anti-infection, cancer and certain blood effects)gradually promotes the reform of spleen surgery in clinical practical, resulting all kinds of spleen-preserving surgery when splenic injury. However,there is still controversy about spleen removal or reservation under the condition of portal hypertension in liver cirrhosis patients, because advantages and disadvantages between these different operations. Laparoscopic splenectomy is a major progress in recent years,the standard operation need to be further explored. Spleen transplantation in the treatment of hemophilia A is one of the characteristics of the spleen surgery in China, and this is the leading position in the world, now we will focus on how to prevent chronic spleen graft dysfunction. To keep the advanced international level, Chinese teams on spleen surgery are still required to deepen the related research and strengthen the academic communication in the future.