Clinical observation on the spleen-preserving surgery in the treatment of 47 patients with traumatic rupture

VernacularTitle:保脾手术治疗外伤性脾破裂47例临床观察
Author: Xing ZHANG
Publication Type:Journal Article
Keywords: Splenic rupture; Spleen-preservation; Treatment outcome
From: Chinese Journal of Primary Medicine and Pharmacy 2012;19(6):820-821
CountryChina
Language:Chinese
Abstract: ObjectiveTo explore the feasibility and safety of the spleen-preserving surgery in the treatment of traumatic rupture.Methods47 patients with traumatic rupture were treated with spleen-preserving surgery:the biological glue which local physical bleeding had 7 cases,suture repair had 13 cases,splenic artery ligation had 10 cases,splenic artery ligation and splenic repair had 9 cases,partial splenectomy had 8 cases.Results47 patients had four cases of infection,and cured after dressing,1 case had postoperative bleeding symptoms and used splenectomy surgery.46 patients with spleen-preserving operation is successful,the average length of stay was 15 days,there is no deaths.After 6 months,all patients used abdominal B-utrasoundor CT scans to confirm the survival of spleen is good and indicator of the examination is normal.Follow-up of these patients had no dangerous infections and complications.ConclusionSpleen-preserving surgery in the treatment of traumatic rupture was safe,feasible,could retain the greatest degree of function,and could be used in clinical practice.