CAJ | 학술논문

目的：探讨结扎脾动脉主干大网膜原位包裹残留脾脏修补术治疗重型外伤型脾破裂的效果。方法对13例Ⅲ～Ⅳ级外伤型脾破裂患者采用结扎脾动脉主干大网膜原位包裹残留脾脏保脾手术，观测手术效果及术后近期部分免疫指标的变化，彩超、CT等了解脾脏存活情况。结果13例Ⅲ～Ⅳ级外伤型脾破裂原位保脾手术均获成功，全组无严重并发症，保脾成功率100%。术后近期部分免疫指标一过性降低，半年后恢复。结论采用结扎脾动脉主干大网膜原位包裹残留脾脏进行重型外伤型脾破裂保脾手术是一种有效的保脾措施。
목적：탐토결찰비동맥주간대망막원위포과잔류비장수보술치료중형외상형비파렬적효과。방법대13례Ⅲ～Ⅳ급외상형비파렬환자채용결찰비동맥주간대망막원위포과잔류비장보비수술，관측수술효과급술후근기부분면역지표적변화，채초、CT등료해비장존활정황。결과13례Ⅲ～Ⅳ급외상형비파렬원위보비수술균획성공，전조무엄중병발증，보비성공솔100%。술후근기부분면역지표일과성강저，반년후회복。결론채용결찰비동맥주간대망막원위포과잔류비장진행중형외상형비파렬보비수술시일충유효적보비조시。
Objective To explore the curative effect of splenic artery ligation with the spleen neoplasty by greater omentum wrap in situ in the treatment of traumatic splenic rupture.Methods 13 cases ofⅢ~Ⅳ grade traumatic splenic rupture were operated by splenic artery ligation and the spleen neoplasty by greater omentum wrap in situ, observe the curative effect after the surgery and the change of immunological index, color Doppler ultrasound, CT and so on to learn the spleen survival situation.Results The operation of spleen neoplasty in situ was succeeded in all 13 cases, no any severe complications were found in all cases, the success rate was 100%.Some immunological indexes were increased temporarily after the operation and recovered to normal level in a short time.Conclusion The splenic artery ligation with the spleen neoplasty by greater omentum wrap in situ is a reliable operative method for traumatic splenic rupture.