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保脾术治疗脾破裂47例分析

Clinical Analysis of 47 Paitents with Spleen Rupture Treated Using Splenic Preservation

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【作者】 张中兴狄柯坪李保东付泽娴

【Author】 ZHANG Zhongxing , DI Keping, LI Baadong, et al. Department of General Surgery, the Third People’ s Hospital of Sanmenxia. City, Sanmenxia 472143, China

【机构】 河南省三门峡市第三人民医院普外科白求恩军医学院河北医科大学第二医院外科

【摘要】 目的探讨保脾术治疗外伤性脾破裂的可能性和安全性。方法对我院行保脾术治疗脾破裂47例的临床资料进行回顾性分析。结果行非手术保守治疗15例,其中1例中转开腹行脾部分切除术;局部物理或生物胶止血5例;缝合修补术 11例;脾部分切除术4例;全脾切除术附加自体脾组织大网膜内移植12例。结论保脾术治疗外伤性脾破裂是安全、可行的。

【Abstract】 Objective To investigate the probability and safe of treatment of spleen rupture using splenic preservation. Methods The clinical data of 47 cases of spleen rupture were analysed retrospectively. Results 15 patients with spleen rupture were mananged by non-operative therapy,one among them was carried out sectional splenectomy. 32 patients underwent a various kinds of splenic preservation. Conclusion It is safe that patiets with spleen rupture treated using splenic preservation.

【关键词】 脾破裂保脾术脾切除术
【Key words】 Spleen raptureSplenic preservationSplenectomy
  • 【文献出处】 白求恩军医学院学报 ,Journal of Bethune Military Medical College , 编辑部邮箱 ,2006年01期
  • 【分类号】R657.6
  • 【被引频次】5
  • 【下载频次】25
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