托出式和原位脾脏切除临床对照研究

目的：对照研究托出式和原位脾脏切除两种手术方式。方法：回顾性分析河南省肿瘤医院普外科2006年1月～2010年6月35例患者因脾脏占位性病变行脾脏切除手术体会。其中使用托出式脾脏切除19例及原位脾脏切除16例。结果：托出式脾脏切除组在出血量、手术时间方面分别为（61.5±16.2）ml、（35.1±6.2）min,较原位切除组的（136.2±19.2）ml及（59.3±5.7）min差异有显著性,而术后并发症发生率,住院时间差异无显著性。结论：原位及托出式脾脏切除手术均是安全而有效的手术方法,但托出式脾脏切除术具有手术时间短、出血少、操作简便等优点。

Clinical investigations of orthotopic and extruded splenectomy

Objective：To investigate the two methods of orthotopic and extruded splenectomy.Methods：To review the 35 patients who received splenectomy in general surgery of Henan Tumor Hospital.19 cases used the extruded method,and 16 cases used the orthotopic method.Results：The bleeding and operation time of extruded splenectomy group were（61.5±16.2） ml,（35.1±6.2） min,while the orthotopic group were（136.2±19.2） ml,（59.3±5.7） min.The the differences between the two groups were very significant.The complication and time of hospitalization were no significant difference.Conclusion：The orthotopic and extruded splenectomy are both effective and safe methods.While the extruded splenectomy can decrease the time of operation and volume of intraoperative hemorrhage,and it＇s more technically simple.