国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2013年
10期
653-655
,共3页
李勇%龚仁华%孙登群%李凯琅%但震宇
李勇%龔仁華%孫登群%李凱瑯%但震宇
리용%공인화%손등군%리개랑%단진우
脾破裂%腹腔镜%保守治疗%保脾%脾切除术
脾破裂%腹腔鏡%保守治療%保脾%脾切除術
비파렬%복강경%보수치료%보비%비절제술
Splentic rupture%Laparoscopes%Conservative treatment%Remain spleen%Splenectomy
目的 探讨外伤性脾破裂的治疗方法和临床效果.方法 回顾性分析32例脾破裂治疗的临床资料.结果 本组无死亡病例,6例保守治疗成功；18例行腹腔镜下探查后14例保脾成功,4例转开腹脾切除；直接开腹脾切除手术8例.结论 外伤性脾破裂的治疗,Ⅰ、Ⅱ级可根据情况行保守治疗或腹腔镜下保脾手术,Ⅲ、Ⅳ级脾破裂应及时行开腹脾切除手术.
目的 探討外傷性脾破裂的治療方法和臨床效果.方法 迴顧性分析32例脾破裂治療的臨床資料.結果 本組無死亡病例,6例保守治療成功；18例行腹腔鏡下探查後14例保脾成功,4例轉開腹脾切除；直接開腹脾切除手術8例.結論 外傷性脾破裂的治療,Ⅰ、Ⅱ級可根據情況行保守治療或腹腔鏡下保脾手術,Ⅲ、Ⅳ級脾破裂應及時行開腹脾切除手術.
목적 탐토외상성비파렬적치료방법화림상효과.방법 회고성분석32례비파렬치료적림상자료.결과 본조무사망병례,6례보수치료성공；18례행복강경하탐사후14례보비성공,4례전개복비절제；직접개복비절제수술8례.결론 외상성비파렬적치료,Ⅰ、Ⅱ급가근거정황행보수치료혹복강경하보비수술,Ⅲ、Ⅳ급비파렬응급시행개복비절제수술.
Objective To discuss the remedy and clinical effect of traumatic splentic rupture.Methods Clinical data of 32 cases of traumatic splentic rupture were retrospective analyzed.Results No dead cases,6 cases were cured by conservative treatment,18 cases were explored by laparoscope,and 14 cases remained spleen,4 cases were converted to traditionary splenectomy.Traditionary splenectomy was done on 8 cases directly.Conclusions Ⅰ,Ⅱ grade of traumatic splentic rupture may choose conservation treatment or remain spleen by laparoscope operation.Splenectomy should be done on Ⅲ,Ⅳ grade of traumatic splentic rupture in time.
