外伤性脾破裂的治疗方法探讨

目的探讨外伤性脾破裂的临床治疗方法及价值。方法对87例外伤性脾破裂患者选择非手术治疗11例,其中2例中转手术;脾修补、部分切除加生物胶粘合止血术11例;全脾切除65例,其中4例加自体脾组织片移植。结果83例痊愈,4例死亡。结论对外伤性脾破裂患者,应遵循“生命第一,保脾第二”的原则,可根据病情选择非手术与手术治疗,既能获得救治成功,同时又最大限度地保护了脾脏功能。

Therapeutic regimens for traumatic splenetic rupture

Objective To probe into the therapeutic regimens and principles for traumatic splenetic rupture. Methods There were 87 cases of splenetic rupture following trauma in this series and they were treated either by surgical or nonsurgical means. The outcomes were analysed retrospectively. Results Eleven cases received nonsurgical treatment, but surgical intervention had to be conducted later in 2 cases. Splenic repair, partial resection, and biogel coherence hemostasis were performed on 11 patients. Total splenectomy was performed on 65 patients including splenosis in 4 cases. Among them, 83 patients were cured and 4 died. Conclusion The principle that llfe-saving is the first and spleen-preserving is the second should be followed for these patients. The choice of surgical or nonsurgical treatment should depend upon the wound condition and severity.