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脾损伤自体脾组织移植的临床应用
引用本文:王国梁,张燕.脾损伤自体脾组织移植的临床应用[J].中国现代普通外科进展,2002,5(2):105-106.
作者姓名:王国梁  张燕
作者单位:1. 南京医科大学第一附属医院普外科,江苏,南京,210029
2. 南京医科大学第一附属医院生殖中心实验室,江苏,南京,210029
摘    要:目的:探讨自体脾组织移植在临床中的应用。方法:总结32例脾外伤行全脾切除自体脾组织移植手术,其中采用大网膜囊内移植18例,去粘膜游离空肠段内移植12例,腹直肌鞘内移植2例。结果:术后随访均显示脾功能满意,尤以去粘膜游离空肠段内移植效果最好。结论:自体脾组织移植可作为严重脾外伤、全脾切除术后保留脾功能的一个重要有效手段,移植脾的功能恢复与血供有密切的关系。

关 键 词:脾损伤  临床应用  自体移植  病例分析
文章编号:1009-9905(2002)-02-0105-02
修稿时间:2002年3月26日

Clinical application of autotransplantation of splenic tissue after total splenectomy in splenic injury
WANG Guo-liang ,ZHANG Yan.Clinical application of autotransplantation of splenic tissue after total splenectomy in splenic injury[J].Chinese Journal of Current Advances in General Surgery,2002,5(2):105-106.
Authors:WANG Guo-liang  ZHANG Yan
Institution:WANG Guo-liang 1,ZHANG Yan 2 1Department of General Surgery,The First Clinical College of Nanjing Medical University
Abstract:Objective:To evaluate the application of autotransplantation of splenic tissue in clinic.Methods:Serial operations of autoplasty spleen were performed in 32 cases total splenectomy in past ten years.18 original spleens were transplanted into omental bursa,12 into an isolated segment of small intestine,2 into vagina musculi recti abdominis.Results:All cases were cured.Follow-up splenic functions were satisfactory.The transplantation of splenic tissue into an isolated of small intestine was the best.Conclusion:Autotransplantations of splenic tissue are safe and feasible for splenic injure total splenectomy. It can restore the physiological funtions of spleen.
Keywords:Spleen  Wounds and injuries  Transplantation  autologous
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