【摘要】 目的探讨非手术治疗外伤性脾破裂的可行性及适应证。方法回顾分析1998年以来我院非手术治疗88例外伤性脾破裂的临床资料及其治疗效果。结果88例均经B超检查确诊脾破裂,Ⅰ级损伤19例,Ⅱ级损伤57例,Ⅲ级损伤12例,其中部分病人合并肋骨骨折,肝肾损伤或颅脑损伤。3例中转手术。结论有选择的非手术治疗外伤性脾破裂是安全有效的治疗方法,轻度的肝肾损伤、腹腔外器官合并伤及病人的年龄并不影响非手术治疗的疗效。更多还原

【Abstract】 Objective To analysis the feasibility and indications of non-operative management for splenic injuries.Methods From 1998,88 cases with splenic injury were managed by non-operative methods in our hospital.The clinical data of these patients were reviewed retrospectively.Results All patients were clearly diagnosed by the abdominal B-us scans,19 patients had gradeⅠinjuries.47 patients had gradeⅡinjuries.12 patients had grade Ⅲ injuries.27 patients had associated injuries,including rib fracture,liver and kidney injuries or craniocerebral trauma.Conclusion Non-operative management of splenic injuries is feasible and safe in a selected group of patients,which is independent of mild liver-kidney injuries,the associated exteriorisational injuries and the age of the patients.更多还原