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规则性脾段切除治疗外伤性脾破裂的临床价值
引用本文:张小弟,魏志力,张天政,张毅,宋平辉,霍永江,耿智敏. 规则性脾段切除治疗外伤性脾破裂的临床价值[J]. 肝胆外科杂志, 2010, 18(6)
作者姓名:张小弟  魏志力  张天政  张毅  宋平辉  霍永江  耿智敏
作者单位:1. 陕西省核工业咸阳215医院肝胆外科二病区,咸阳,712000
2. 西安交通大学医学院第一附属医院肝胆外科
摘    要:目的探讨规则性脾段切除在治疗外伤性脾破裂时的价值。方法回顾分析31例外伤性脾破裂病人,入腹后解剖二级脾蒂,控制出血,切除破裂引起出血的脾段。结果 31例病人全部保留脾脏成功,无再次手术,无死亡病例,保留脾脏血流正常。结论规则性脾段切除治疗外伤性脾破裂安全、可行。

关 键 词:脾破裂  脾段切除  

CLINICAL VALUE OF THE REGULAR SPLENIC SEGMENT RESECTION IN THE TREATMENT OF TRAUMATIC SPLENIC RUPTURE
Affiliation:(ZHANG Xiao-di,WEI Zhi-li,ZHANG Tian-zheng,et al.Department of Hepatobiliary Surgery,Xianyang 215 Hospital of the Nuclear Industry in Shanxi Province,Xianyang 712000,China)
Abstract:Objective To explore the value of the regular splenic segment resection in the treatment of traumatic splenic rupture.Methods 31 patients with traumatic splenic rupture who received regular splenic segment resection were analyzed retrospectively.Dissect the secondary splenic pedicle to control the bleeding after open the abdomen,then resect the broken splenic segment which cause the bleeding.Result 31 patients were preserved the spleen successfully with no re-operation and no deaths.The blood circulation of...
Keywords:splenic rupture  splenic segment resection  
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