潍坊医学院学报
濰坊醫學院學報
유방의학원학보
Acta Academiae Medicinae Weifang
2015年
5期
385-387
,共3页
宿宝栋%郭连明%丁维宝%杜福田
宿寶棟%郭連明%丁維寶%杜福田
숙보동%곽련명%정유보%두복전
脾切除术%肝硬化%门脉高压症%巨脾
脾切除術%肝硬化%門脈高壓癥%巨脾
비절제술%간경화%문맥고압증%거비
Splenectomy%Hepatic cirrhosi%Portal hypertension%Megalosplenia
目的 通过回顾性研究,比较分析原位脾切除术与传统脾切除术在治疗肝硬化门脉高压症中的出血量等并发症情况,提供一定临床指导意义. 方法 回顾潍坊市人民医院肝胆外科2003~2013年因肝硬化门脉高压症行单纯脾切除病例,共98例,按照手术方式分为原位脾切除组46例,传统脾切除组52例,统计手术中出血、输血等并发症情况,进行统计学分析比较. 结果原位脾切除组及传统脾切除组出血量分别为(281.63±109.30)ml,(422.45±153.00)ml,P<0.05;原位脾切除组0例发生胰瘘,传统脾切除组5例(9.61%)发生胰瘘,P<0.05;原位脾切除组中11例(31.42%)输血,传统脾切除中27例(51.92%)输血,P<0. 05. 结论 较传统脾切除术,原位脾切除术可减少手术中的出血量及手术输血,且术后胰瘘等并发症的发生率明显低于传统脾切除术. 对于肝硬化门脉高压症患者,原位脾切除术较传统脾切除术更具优势.
目的 通過迴顧性研究,比較分析原位脾切除術與傳統脾切除術在治療肝硬化門脈高壓癥中的齣血量等併髮癥情況,提供一定臨床指導意義. 方法 迴顧濰坊市人民醫院肝膽外科2003~2013年因肝硬化門脈高壓癥行單純脾切除病例,共98例,按照手術方式分為原位脾切除組46例,傳統脾切除組52例,統計手術中齣血、輸血等併髮癥情況,進行統計學分析比較. 結果原位脾切除組及傳統脾切除組齣血量分彆為(281.63±109.30)ml,(422.45±153.00)ml,P<0.05;原位脾切除組0例髮生胰瘺,傳統脾切除組5例(9.61%)髮生胰瘺,P<0.05;原位脾切除組中11例(31.42%)輸血,傳統脾切除中27例(51.92%)輸血,P<0. 05. 結論 較傳統脾切除術,原位脾切除術可減少手術中的齣血量及手術輸血,且術後胰瘺等併髮癥的髮生率明顯低于傳統脾切除術. 對于肝硬化門脈高壓癥患者,原位脾切除術較傳統脾切除術更具優勢.
목적 통과회고성연구,비교분석원위비절제술여전통비절제술재치료간경화문맥고압증중적출혈량등병발증정황,제공일정림상지도의의. 방법 회고유방시인민의원간담외과2003~2013년인간경화문맥고압증행단순비절제병례,공98례,안조수술방식분위원위비절제조46례,전통비절제조52례,통계수술중출혈、수혈등병발증정황,진행통계학분석비교. 결과원위비절제조급전통비절제조출혈량분별위(281.63±109.30)ml,(422.45±153.00)ml,P<0.05;원위비절제조0례발생이루,전통비절제조5례(9.61%)발생이루,P<0.05;원위비절제조중11례(31.42%)수혈,전통비절제중27례(51.92%)수혈,P<0. 05. 결론 교전통비절제술,원위비절제술가감소수술중적출혈량급수술수혈,차술후이루등병발증적발생솔명현저우전통비절제술. 대우간경화문맥고압증환자,원위비절제술교전통비절제술경구우세.
Objective To compare and analyse hemorrhage and complications of orthotopic splenectomy and traditional splenec-tomy by retrospective study .Methods Collected and looked up the illness records of hepatobiliary surgery of Weifang people 's hospital from 2003 to 2013 which was diagnosed Hepatic Cirrhosis ( HC) and Portal Hypertension ( PH) and picking the records merely had splenectomy . The total records were 98 cases and were divided into two groups ,according to different surgery methods .The orthotopic splenectomy group had 46 records,and the traditional splenectomy group had 52 records.Obtained the clinical data and did statistical analysis .Results The blood loss of the orthotopic splenectomy group and the traditional splenectomy group were (281.63±109.30)ml and (422.45±153.00)ml (P<0.05).The orthotopic splenectomy group had no pancreatic fistula and the traditional splenectomy group had 5(9.61%),P<0.05.The orthotopic splenectomy group had 11(31.42%) need transfusion and the traditional splenectomy group had 27(51.92%),P<0.05.Con-clusions Compared with traditional splenectomy ,orthotopic splenectomy can reduce the blood loss and transfusion in the operation and re-duce the incidence of pancreatic fistula .Orthotopic splenectomy is superior to traditional splenectomy in merely splenectomy patients of HC and PH.
