摘要
目的探讨Ⅰ-Ⅳ级外伤性脾破裂治疗方式的选择。方法回顾分析我院近5年来112例I-IV级外伤性脾破裂患者临床资料。结果 112例Ⅰ-Ⅳ级外伤性脾破裂患者中一般保守治疗81例,介入栓塞止血11例,急诊开腹手术13例,中断保守治疗行开腹手术7例;入院时查CT腹腔未见游离液体或少量游离液体67例,保脾治疗成功67例;腹腔中量游离液体者45例,保脾治疗成功25例;按美国外伤外科学会AAST分级制订的脾脏损伤程度分级标准,Ⅰ级24例,Ⅱ级30例,Ⅲ级42例,Ⅳ16例。结论有选择的保脾治疗脾破裂是安全、有效的治疗方法,其中入院时血压稳定,腹腔无或少量游离液体者能保持较高的保脾治疗成功率;介入栓塞止血能显著提高保脾治疗的成功率。
Objective To investigate the selection of the methods to splenic rupture patient of grade I-IV. Methods The clinical data of 112 splenic rupture patients of grade I-IV were reviewed retrospectively. Results In 112 cases, there are 81 cases with conservative treatment, 11 cases with interposition embolism, 13 cases with laparotomy in emergency, 7 cases with conservative laparotomy. There was little effusion in abdominal cavity of 67 cases. 67 cases and 25 cases of 45 middle quantities of effusion cases were successful. Conclusion The selective treatment of preserving spleen is safe and effective. Patients with steady BP and little or a little abdominal effusion have more possible to preserve spleen than others. The way of interposition embolism applied to splenic injury patient can increase successful ratio.
出处
《局解手术学杂志》
2012年第4期414-415,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
脾破裂
AAST分级
保脾治疗
splenic rupture
AAST grading
pservering spleen
