| 脾部分切除术的技巧与体会 |
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| 引用本文： | 李宇鸿 吴雄辉. 脾部分切除术的技巧与体会[J]. 河北医学, 1999, 5(7): 29-30 |
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| 作者姓名： | 李宇鸿 吴雄辉 |
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| 作者单位： | 广东省湛江市中心医院 |
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| 摘 要： | 目的：最大限度地保留脾组织及脾功能可使机体避免或减少因无脾而导致不良后果。方法 主要操作技巧，充分游离脾脏，解剖脾门时勿伤及脾极动脉，结扎并切断受损之脾叶，段血管，垂直褥区缝合残面，结下衬以明胶海绵，打结力度适宜；缝合完毕后观察１５分钟方脾还纳腹腔，结果 ２０例患者行脾部分切除术。１例出现脾窝积液，并经穿刺油液后治愈，余者均痊愈出院，１７例患者随访１－９年，免疫功能正常，远期疗效优良，结论，对脾
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| 关 键 词： | 脾脏损伤 操作技巧 脾部分切除 免疫功能 |
OPERATIVESKILLSANDEXPERIENCES FORPARTIALSPLENECTOMY |
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| LiYuhong,WuXionghui,HuangRuiyun. OPERATIVESKILLSANDEXPERIENCES FORPARTIALSPLENECTOMY[J]. Hebei Medicine, 1999, 5(7): 29-30 |
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| Authors: | LiYuhong WuXionghui HuangRuiyun |
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| Abstract: | Objective: Topreservespleentissueanditsfunctionmaximallycouldsignificantlyreduceortotallyabrogatethehazardsoftheasplenicstate.Thisstudyintroducetheoperativeskillsforpartialsplenectomy. Method:5,5BZTheoperativeskillswereasfollows:Mobilizingthespleensufficiently;Ligatingtheinjuredlobarandsegmentalbloodvessels,andnodamagingthepolorarterieswhendissectingthesplenichilum;Handlingtheresidualsplenicsurfacewithverticalmattresssuture,andknottingmoderatelyandliningwithgelatinspongebeneathknots;Waitingfor15minutesafterthesplenicmanagement,andreturningthespleentotheabdominalcavity. Results: Twentycasesunderwentpartialsplenectomy.Onlyonepatienthadhydropsofthesplenicfossa,andwastreatedwithpercutancouscentesis;Theotherswerecured.Seventycaseswerefollowedupfromonetonineyears,theyhadnormalimmunologicfunctionandexcellentlongtermeffects.WT5,5HZConclusion: Themanagementofsplenictraumamustcomplywiththeprinciple,namelyliferescuefirstandsplenicpreservationsecond.Itisthekeytoperformingpartialsplenectomysuccessfullythattheoper |
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| Keywords: | Splenictrauma Operativeskills Partial splenectomy Immunologicfuctionatorshouldfamiliarizethesplenictopographandmastertheoperativeskills. |
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