【摘要】 目的总结脾损伤的手术处理经验。方法回顾分析1989年6月—2008年12月手术治疗的158例脾损伤患者的临床资料。结果脾修补术31例,脾部分切除术11例,脾部分切除脾修补术2例,脾切除自体脾组织片移植术46例,脾切除术68例。脾切除术68例中,4例因严重多发伤术后死亡。结论遵循"抢救生命第一,保留脾脏第二"的原则,有保脾适应证的患者应行保脾手术,手术时可将多种保脾方法组合使用。更多还原

【Abstract】 Objective To summarize the experience in operation after splenic injury. Methods The clinical data of 158 postoperative cases after splenic injury from June 1989 to Dec. 2008 were analysed retrospectively. Results Splenorrhaphy was undertaken in 31 cases,partial splenectomy in 11 cases,partial splenectomy with splenorrhaphy in 2 cases,splenectomy with autotransplantation of splenic slice in 46 cases,splenectomy in 68 cases. 4 cases were dead after operation for serious polytrauma among 68 cases of splenectomy. Conclusion The principle of ’life saving first,spleen preserving second should be observed. The operations of preserving spleen should be undertaked in the cases who have indication of preserving spleen. Combined methods could be adopted to preserve spleen during operation.更多还原