CAJ | 학술논문

目的创伤性脾破裂患者行脾切除术时,传统方法脾门的处理采用大块组织结扎,此法术后易发生一些常见并发症,如脾热、胰尾损伤、出血等.我院从2007年10月～2009年2月对部分创伤性脾破裂患者行脾切除时运用直线切割缝合器行二级脾蒂离断术,以探讨其对术后并发症及预后的影响.方法回顾性分析比较了传统组与对照组共112例纳入患者的临床资料,运用统计学方法获得有意义的结果.结果对照组中脾热、胰漏等术后发生率降低;血性引流物持续时间与住院时间缩短.结论直线切割缝合器行二级脾蒂离断术在创伤性脾破裂脾切除中的应用,可降低常见并发症发生率,改良预后,是一种值得推广的术式.
목적 창상성비파렬환자행비절제술시,전통방법비문적처리채용대괴조직결찰,차법술후역발생일사상견병발증,여비열、이미손상、출혈등.아원종2007년10월～2009년2월대부분창상성비파렬환자행비절제시운용직선절할봉합기행이급비체리단술,이탐토기대술후병발증급예후적영향.방법 회고성분석비교료전통조여대조조공112례납입환자적림상자료,운용통계학방법획득유의의적결과.결과 대조조중비열、이루등술후발생솔강저;혈성인류물지속시간여주원시간축단.결론 직선절할봉합기행이급비체리단술재창상성비파렬비절제중적응용,가강저상견병발증발생솔,개량예후,시일충치득추엄적술식.
Objective For traumatic spleen ruptures splenectomies were often indicated. When traditional splenectomies were carried out, splenic pedicles were ligated en bloc ; this method was frequently associated with splenic fever, pancreatic tail injury, bleeding, etc. From October of 2007 through February of 2009, a new surgical approach linear cutter-assisted splenecto-my-was adopted by us to treat traumatic spleen ruptures. The key-pints of this method are the exposure of splenic pedicle bifur-cation and cutting the splenic pedicle near splenic parenchyma with linear cutter. The cases treated with this new method were analyzed. Methods 112 cases of traumatic spleen ruptures treated with either traditional splenectomy or new surgical approach were retrospectively analyzed and compared. Results The group treated with linear cutter-assisted splenectomy had significantly less cases of splenic fever and pancreatic leakage, and significantly shorter length of bloody drainage and length of hospital stay. Conclusion linear cutter-assisted splenectomy was associated with less complications and better outcome. This new surgical ap-proach should be widely adopted.