CAJ | 학술논문

目的：探讨采用保脾手术治疗外伤性脾脏破裂的临床效果。方法选取2009年3月至2012年12月我院收治的外伤性脾破裂患者32例，均采用保脾手术治疗，对其临床资料进行回顾性分析。结果32例手术保脾的患者中，行脾修补术18例，脾部分切除术14例。1例死于与严重创伤相关的多器官功能衰竭，余31例患者均治愈出院，未行二次手术，术后行C T、B超等辅助检查进行随访，证实所保留的脾脏愈合良好。结论在严格掌握保脾治疗指征的前提下，保脾手术是安全、有效的治疗方法，对于在适应症范围内的外伤性脾破裂患者，应尽可能采用保脾治疗外伤性脾破裂。
목적：탐토채용보비수술치료외상성비장파렬적림상효과。방법선취2009년3월지2012년12월아원수치적외상성비파렬환자32례，균채용보비수술치료，대기림상자료진행회고성분석。결과32례수술보비적환자중，행비수보술18례，비부분절제술14례。1례사우여엄중창상상관적다기관공능쇠갈，여31례환자균치유출원，미행이차수술，술후행C T、B초등보조검사진행수방，증실소보류적비장유합량호。결론재엄격장악보비치료지정적전제하，보비수술시안전、유효적치료방법，대우재괄응증범위내적외상성비파렬환자，응진가능채용보비치료외상성비파렬。
Objective To explore the clinical effect of spleen preserving operation by the treatment of traumatic spleen rupture. Methods 32 patients from 2009 March to 2012 December in our hospital were traumatic rupture of spleen, spleen preserving operation treatment were adopted, and the clinical data were retrospectively analyzed. Results of the 32 patients in the operation of preserving spleen, splenic repair was performed in 18 cases, partial splenectomy in 14 cases. 1 cases died of severe trauma associated with multiple organ failure, 31 patients were cured, not the two operation, postoperative CT, B ultrasound examinations were fol owed up, confirm the reserved spleen good healing. Conclusion under the strict control of spleen preserving treatment indications under the premise of spleen preserving operation, treatment method is safe, effective, for patients with ruptured in indications within the scope of the traumatic spleen, should as far as possible the use of spleen preserving treatment of traumatic splenic rupture.