延迟性脾破裂23例诊治分析

目的：分析延迟性脾破裂的发病机制及诊治方法。方法：对23例延迟性脾破裂病例进行回顾分析。结果：本组23例患者手术治疗19例,其中脾切除14例,脾部分切除2例,脾修补术2例,自体脾片网膜内移植1例,保守治疗4例,全部患者均痊愈出院。结论：提高对延迟性脾破裂的认识,提高诊断水平是减少误诊的有效方法,正确的治疗方法选择,可以减少并发症的发生。

The Analysis of Diagnosis and Treatment of Twenty-three Delayed Splenic Rupture

Objective：To study the pathogenesis and treatment of delayed splenic rupture. Method：We analyzed 23 patients of delayed splenic rupture through retrospective study. Result：Among the 23 patients,19 were performed surgical treatment,14 cases received splenectomy ,2 partial splenectomy ,2 cases simple splenorrhaphy,and 1 case.Rest of the 4 patients received conservative treatments. All the 23 patients were healed up and left the hospital. Conclusion：Improving the consciousness of delayed splenic rupture and the level of diagnosis are helpful to reduce the occurrence of misdiagnosis;The best therapy choice could decrease complications effectively.