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| 保脾治疗脾外伤256例 | |
| 引用本文： | 姜淮芜,安宁,王东,刘敦永,王利民,黎前德,杨晓宏,廖新建,赵平武,张耀,王继湘,刘启榆,勾忠杰.保脾治疗脾外伤256例[J].泸州医学院学报,2003,26(3):232-234. |
| 作者姓名： | 姜淮芜 安宁 王东 刘敦永 王利民 黎前德 杨晓宏 廖新建 赵平武 张耀 王继湘 刘启榆 勾忠杰 |
| 作者单位： | 1. 川北医学院附二院普外科,四川绵阳,621000 2. 绵阳市中心医院 3. 绵阳市人民医院 4. 长城特殊钢公司总医院 |
| 摘 要： | 目的：总结保脾手术治疗脾外伤经验及效果。方法：分析1993年以来收治的256例脾外伤保脾手术病例。结果：原位保脾211例(82．4％)；部分除切术161例，其中保脾量≥1／2脾74例；脾片移植45例，治愈255例，治愈率99．6l％，原位保脾病例术后恢复良好。结论：采用脾血流控制技术是提高脾外伤保脾手术质量的前提，根据脾损伤部位、严重程度及裂伤深度选择保脾术式是提高保脾手术质量的关键。 |
| 关 键 词： | 脾外伤 保脾 手术技术 |
| 文章编号： | 1000-2669(2003)03-0232-03 |
| 修稿时间： | 2003年3月4日 |
256 OPERATION CASES OF SPLENIC SALVAGE PROCEDURE FOR SPLENIC INJURY |
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| Jiang Huaiwu,et al.256 OPERATION CASES OF SPLENIC SALVAGE PROCEDURE FOR SPLENIC INJURY[J].Journal of Luzhou Medical College,2003,26(3):232-234. | |
| Authors: | Jiang Huaiwu |
| Institution: | Jiang Huaiwu,et al Department of General Surgery,the Second Hospital of North Sichuan Medical College |
| Abstract: | Objective:To summarize the experience and effect on spleen preserve salvage procedure for splenic injury.Methods:A total of 256 cases of splenic injury, having been treated with salvage procedure from 1993 to 2002, were studied. Results:There were 211 cases with splenic salvage in situ(82.4%).161 cases with partial splenectomy, among them,74 cases were saved a half or more of the spleen,45 spleens were auto transplanted.255 cases were cured (99.61%) ,and one patient died of MOF.Conclusions:Splenic blood inflow control technique can improve the quality of splenic salvage operation. A successful splenic salvage operation relies on the choice of suitable operation techniques on the basis of factors such as the injury location, severity,extent and the injured depth. |
| Keywords: | Splenic injury Splenic salvage Operation technique |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |