| 胃切除术中脾损伤的原因及对策 |
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| 引用本文： | 陈润成,张继红,唐伟标,周发水.胃切除术中脾损伤的原因及对策[J].广州医学院学报,2001,29(3):73-74,81. |
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| 作者姓名： | 陈润成 张继红 唐伟标 周发水 |
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| 作者单位： | 广州医学院附属市一医院普外科, |
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| 摘 要： | 目的：探讨胃切除术中脾损伤的原因及预防和处理方式。方法：结合文献对13例胃切除术中脾损伤病例进行回顾分析。结果：胃切除术中脾损伤发生率为0.98%。脾下极撕裂7例，脾上极撕裂4例，上极和脾门撕裂1例，脾门撕裂1例。行脾切除术9例，ZT胶粘合1例，缝合 填塞2例，缝合 填塞 ZT胶粘合1例。结论：胃切除术中脾损伤主要是术操作错误引起；熟悉脾胃解剖，术中麻醇满意、切口选择适当、显露充分，改进手术操作，注意保护牌脏有利于预防脾损伤发生；良性疾病术的中脾损伤应作缝合修补为主的保脾手术，胃癌术中脾损伤可同时行脾切除术。
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| 关 键 词： | 胃切除术 脾损伤 医源性脾损伤 脾损伤原因 防治对策 |
| 文章编号： | 1008-1836(2001)03-0073-02 |
Reasons and Countermeasures for Spleen Injury in Gastrectomy |
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| Abstract: | Objective:To study the reasons and prevention and treatment of spleen injury in gastrectomy. Methods: 13 cases of spleen injury in gastrectomy were included in a retrospective analysis. Results:The incidence rate of spleen injury in gastrectomy was 0.98%. Lacerations in upper polar,lower polar or porta lienis of the spleen were found respectively in 7,4 and 1 case,and lacerations in upper polar and porta lienis happened in 1 case. Splenotomy was performed in 9 cases. The others were treated either with ZT adhesive or suture and filling or combined measures. Conclusion: Spleen injury in gastrectomy was mainly caused by misoperations. Suture and patching up were recommended in spleen injury during the operation in benign diseases,while splenotomy could be performed simultaneously in gastrectomy in gastric carcinoma. |
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| Keywords: | gastrectomy spleen injury |
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