电视腹腔镜下行脾损伤的保脾治疗30例分析

目的　应用电视腹腔镜行脾损伤的保脾治疗。方法　在电视腹腔镜下行外伤脾凝固止血 +脾窝橡皮管引流。结果　本组 30例病人术后无一例发生再出血 ,平均住院 4～ 5天 ,术后随访病人情况良好。结论　应用电视腹腔镜行脾损伤保脾治疗是一种新的保脾治疗方法 ,它不仅可以明确诊断 ,判断脾脏损伤的程度 ,对于腹腔内出血量较少或较慢、损伤程度轻的脾损伤在腹腔镜下行止血术是安全可行的 ,它避免了不必要的开腹手术给病人带来的痛苦 ,同时它具有损伤小、恢复快、住院时间短的优点。

Spleen preserving treatment of spleen trauma under TV laparoscopy

Objective To study the spleen preserving operation of spleen trauma under TV laparoscopy.Methods Electric coagulation and drainage of the injured spleen were performed under TV Laparoscopy.Results There was no post operative bleeding in the 30 cases of spleen trauma.Mean hospital time was 4 to 5 days and postoperative follow up outcome was satisfactory.Conclusion TV laparoscopic treatment of spleen injury is a new spleen preserving method.It can diagnose the degree of spleen injury and avoid the non necessary open laparotomy.