介入放射学杂志
介入放射學雜誌
개입방사학잡지
JOURNAL OF INTERVENTIONAL RADIOLOGY
2014年
7期
623-625
,共3页
龚溪明%吕福华%叶贤德%罗剑钧
龔溪明%呂福華%葉賢德%囉劍鈞
공계명%려복화%협현덕%라검균
外伤性脾破裂%栓塞%介入治疗%外科修复术
外傷性脾破裂%栓塞%介入治療%外科脩複術
외상성비파렬%전새%개입치료%외과수복술
traumatic spleen rupture%embolization%interventional therapy%surgical repair
目的：探讨急症介入栓塞在治疗创伤性脾破裂中的价值。方法对74例外伤性脾破裂患者的临床资料进行回顾性分析，其中38例行介入性脾动脉栓塞（栓塞组），36例行手术修补（手术组）。比较两组的手术时间、术中出血量、住院时间、脾脏保存率以及手术相关不良事件发生率。结果两组手术时间无显著差异（P =0．061），与手术组比较，栓塞组患者的术中出血量、住院时间、手术相关不良事件发生率明显较低（P <0．05）、脾脏保存率明显为高（P =0．026）。结论急症介入栓塞治疗外伤性脾破裂安全，与传统外科修复术比较，提高了脾脏保存率。
目的：探討急癥介入栓塞在治療創傷性脾破裂中的價值。方法對74例外傷性脾破裂患者的臨床資料進行迴顧性分析，其中38例行介入性脾動脈栓塞（栓塞組），36例行手術脩補（手術組）。比較兩組的手術時間、術中齣血量、住院時間、脾髒保存率以及手術相關不良事件髮生率。結果兩組手術時間無顯著差異（P =0．061），與手術組比較，栓塞組患者的術中齣血量、住院時間、手術相關不良事件髮生率明顯較低（P <0．05）、脾髒保存率明顯為高（P =0．026）。結論急癥介入栓塞治療外傷性脾破裂安全，與傳統外科脩複術比較，提高瞭脾髒保存率。
목적：탐토급증개입전새재치료창상성비파렬중적개치。방법대74예외상성비파렬환자적림상자료진행회고성분석，기중38례행개입성비동맥전새（전새조），36례행수술수보（수술조）。비교량조적수술시간、술중출혈량、주원시간、비장보존솔이급수술상관불량사건발생솔。결과량조수술시간무현저차이（P =0．061），여수술조비교，전새조환자적술중출혈량、주원시간、수술상관불량사건발생솔명현교저（P <0．05）、비장보존솔명현위고（P =0．026）。결론급증개입전새치료외상성비파렬안전，여전통외과수복술비교，제고료비장보존솔。
Objective To assess the value of emergency interventional embolization in treating traumatic spleen rupture. Methods A total of 74 patients with traumatic spleen rupture, who were encountered at authors’ hospital during the period from July 2007 to July 2013, were enrolled in this study. The clinical data were retrospectively analyzed. The patients were divided into embolization group (n = 38) and surgery group (n = 36). Interventional splenic artery embolization was carried out in the patients of the embolization group, and surgical repair was employed in the patients of the surgery group. The operation time, the amount of blood loss during the procedure, the hospitalization days, the preservation rate of the spleen and the occurrence of procedure- related adverse events were recorded, and the results were compared between the two groups. Results No significant difference in the operation time existed between the two groups (P = 0.061). The amount of blood loss during the procedure, the hospitalization days and the occurrence of procedure- related adverse events in the embolization group were significantly lower than those in the surgery group (P < 0.05), while the preservation rate of the spleen of the embolization group was significantly higher than that of the surgery group (P = 0.026). Conclusion Emergency interventional embolization is a safe procedure for the treatment of traumatic spleen rupture, this technique can improve the preservation rate of the spleen when compared with traditional surgical repair treatment.
