脾外伤保脾手术治疗47例报告

目的 探讨保脾手术治疗脾外伤的适应证的选择及治疗体会.方法 总结分析1996年1月至2005年10月间精河县人民医院采用保脾手术治疗47例脾外伤病例的临床资料.结果 47例手术均成功,其中明胶海绵填塞止血8例,缝合修补术13例,脾部分切除术23例,全脾切除加自体移植3例.随访6～12个月,所有病人无死亡及并发症发生.结论 选择性保脾治疗脾外伤安全可靠,疗效确切.

Spleen conserving operations for splenic traumas: a report of 47 cases

Objective To investigate the indications of spleen conserving operations for splenic traumas.Methods From Jan. 1996 to Oct. 2005 47 consecutive patients with splenic traumas were treated by spleen conserving operations in our hospital. The clinical data of these patients were analysed retrospectively.Results All the operations were accomplished successfully. Of the 47 patients, 8 patients were treated with gelfoan packing hemostasis, 13 patients were treated with repair and suture of wound, 23 patients were treated with partial splenectomy, 3 patients were treated with splenctomy plus autotransplantation of the spleen. After 6 to 12 months of follow-up, there were no mortality and complications.Conclusion Selective spleen conserving operations are safe and effective procedures for splenic traumas.