A comparative study on the effect of interventional embolization and surgical treatment for traumatic splenic rupture
10.3969/j.issn.1002-1671.2017.04.029
- VernacularTitle:介入栓塞与外科手术治疗外伤性脾破裂效果的对比研究
- Author:
Liang WU
;
Linyou WANG
;
Qianjin HUA
- Keywords:
traumatic rupture of spleen;
embolism;
interventional therapy;
splenectomy
- From:
Journal of Practical Radiology
2017;33(4):600-602,607
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of emergency interventional embolization in the treatment of traumatic splenic rupture.Methods Clinical data of 45 patients with traumatic splenic rupture in our hospital were analyzed retrospectively.Selective splenic artery embolization (embolization group) was performed in 29 patients guided by DSA,and surgical resection or repair operation (operation group) was performed in 16 patients.Results Data of two groups were compared:①For operation time and length of hospital stay,the intervention group was significantly better than the operation group (P<0.05);②For incidence of postoperative fever and pleural effusion,the operation group was lower than the intervention group (P<0.05);③For the postoperative abdominal pain index,there was no significant difference between the two groups (P>0.05);④Compared with the operation group,patients in the intervention group had less long-term complications,and did not require long-term anticoagulation therapy.Conclusion Interventional embolization in the treatment of traumatic splenic rupture is safe and effective, and has less postoperative complications.The interventional embolization improves spleen preservation rate and improved the life quality.
