摘要
目的 总结外伤性脾破裂 32例保脾手术的经验。方法 对我院 1990年～ 2 0 0 0年外伤性脾破裂 32例的资料进行回顾性分析。结果 单纯脾修补术 12例 ,不规则脾部分切除术 16例 ,规则性脾部分切除术 4例 ,均获得成功。结论 保脾应遵循“抢救生命第一 ,保留脾脏第二”的原则 ,对无合并伤的Ⅲ级以内的脾破裂行选择性保脾手术是可以达到临床治愈的。
Objective To discuss the experience of spleen reserved operation in 32 cases of traumatic splenic rupture.Methods The data of 32 cases of traumatic splenic rupture from 1990 to 2000 was retrospectively analyzed.Results 12 cases received simple splenorrhaphy, 16 irregular partial splenectomy and 4 cases regular partial splenectomy.The therapeutic effects were all satisfactory.Conclusion The principle for reserving spleen was 'the first is saving life, the second is reserving spleen'.Selective spleen reserved operation of splenic rupture within Ⅲ degree without combined injury can get clinical care.
出处
《腹部外科》
2001年第4期219-220,共2页
Journal of Abdominal Surgery
关键词
脾破裂
外科手术
保脾手术
Splenic rupture
Splenorrhaphy
Spleen reserved
