外伤性脾破裂117例诊治分析
安东均 张成 王旗
摘要
目的：探讨脾破裂患者的诊疗方法。
方法：回顾性分析咸阳市中心医院3年间住院的117例脾破裂患者的临床资料，分析B超诊断的出血情况和非手术治疗、手术治疗的结果。
结果：B超诊断脾被膜下出血者13例，真性脾破裂者104例。参考B超结果对9例患者采用非手术治疗，108例采用手术治疗。
结论：B超诊断脾破裂阳性率高，诊断出血量与手术结果较符合；参考B超结果选择符合脾切除术指征的病例进行手术是治疗脾破裂确切有效的手段。
关键词
脾破裂/诊断；脾破裂/外科学
Analysis of the diagnosis and treatment of 117 cases of traumatic rupture of spleen
AN Dongjun，ZHANG Cheng，WANG Qi
Department of Hepatobiliary Surgery，Xianyang center Hospital，Xianyang 712000 China
ABSTRACT
Objective:To explore the diagnosis and treatment of spleen rupture patients.
Methods:The clinical data of 117 patients with spleen rupture hospitalized in Xianyang Central Hospital in 3 years were analyzed retrospectively.Analysis of B ultrasound diagnosis of bleeding and non-surgical treatment，surgical treatment results.
Results:B ultrasound diagnosed 13 cases of splenic subcapsular hemorrhage and 104 cases of true splenic rupture.According to the results of B ultrasound，9 patients were treated with non-surgical treatment and 108 patients with surgical treatment.
Conclusion:The positive rate of B-ultrasound diagnosis of spleen rupture is high，and the amount of bleeding diagnosed is in good agreement with the surgical results.It is an exact and effective method to treat splenic rupture to select cases that meet the indications of splenectomy according to the results of B-ultrasound.
KEY WORDS
Spleen Rupture/diag；Spleen Rupture/Surgery
脾破裂是腹部闭合性外伤中的常见疾病，大部分需要急症手术治疗。手术方式有脾切除术和保脾手术。本文回顾性分析1999年1月～2002年12月咸阳市中心医院住院的117例外伤性脾破裂患者的临床资料，现报告如下。