儿童外伤性脾破裂诊治分析:附70例报告

目的 探讨儿童外伤性脾破裂治疗方法的选择.方法 回顾性分析了70例儿童外伤性脾破裂病例.结果 10例患儿经非手术治疗治愈.60例患儿采用手术治疗,其中35例采取脾部分切除或修补术;5例全脾切除,其中1例实行自体脾移植术.术后随访61例,随访时间3个月～5年,无脾切除后凶险性感染.结论 儿童脾外伤后应根据病情和脾脏损伤的程度选择合理的治疗方式,对于脾切除患儿自体脾片移植是安全有效的疗法.

Diagnosis and treatment of traumatic splenic rupture in children: report of 70 cases

Objective To evaluate the choice of treatment method for traumatic splenic rupture in children. Methods A retrospective analysis of 70 children with traumatic splenic rupture was performed. Results Of the 70 children, 10 were managed with non-surgical treatment and cured. In the 60 children receiving operations, 35 underwent partial splenectomy or prosthesis, 25 had total splenectomy, and the other 21 received autologous spleen transplantation. The follow-up study of 61 children lasting for 3 months to 5 years after operation did not reveal the occurrence of overwlrelmingpostsplenectomy infection. Conclusion The decision on adequate management of traumatic splenic rupture in children should be made on the basis of the patient's condition and severity of spleen injury, and autologous spleen transplantation can be safe and effective in children with splenectomy.