外科理论与实践

外科理论与实践 ›› 2020, Vol. 25 ›› Issue (03): 222-226.doi: 10.16139/j.1007-9610.2020.03.010

• 论著 • 上一篇    下一篇

创伤性脾破裂行脾动脉介入栓塞与外科手术治疗的临床比较研究

张立鹏1, 王忠敏2(), 赵新建1   

  1. 1.石河子大学医学院第一附属医院放射科,新疆 石河子 832000
    2.上海交通大学医学院附属瑞金医院放射科,上海 200025
  • 收稿日期:2019-02-01 出版日期:2020-05-25 发布日期:2020-05-25
  • 通讯作者: 王忠敏 E-mail:wzm0722@hotmail.com
  • 基金资助:
    兵团科技攻关与成果转化计划项目(2015AD001)

Splenic artery embolization versus surgery in treatment of traumatic splenic injury: a comparative study

ZHANG Lipeng1, WANG Zhongmin2(), ZHAO Xinjian1   

  1. 1. Department of Radiology, the First Affiliated Hospital, Shihezi University Medical College of Medicine, Xinjiang Shihezi 832000, China
    2. Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2019-02-01 Online:2020-05-25 Published:2020-05-25

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摘要：

目的:对比研究脾动脉介入栓塞与外科手术治疗创伤性脾破裂的临床疗效。方法:收集石河子大学医学院第一附属医院2014年至2018年间创伤性脾破裂病人40例作为研究对象,其中20例采用脾动脉栓塞治疗;另外20例行外科手术的病人作为对照组进行比较。评估介入治疗疗效、术后血压、血细胞变化、操作时间、出血量、住院时间及术后并发症等情况。结果:行脾动脉介入栓塞组病人均治疗成功,且操作时间、出血量、住院时间及术后并发症发生率均低于对照组,差异有统计学意义（P<0.05）。结论:创伤性脾破裂病人行脾动脉介入栓塞治疗是一种安全有效的治疗方式。

关键词: 创伤性脾破裂, 介入栓塞, 手术治疗

Abstract:

Objective To compare the clinical effect between splenic artery interventional embolization and surgery in the management of patients with traumatic splenic injury. Methods Forty patients with traumatic splenic injury in the First Affiliated Hospital, Shihezi University Medical College from 2014 to 2018 were studied for comparison, 20 cases with splenic artery embolization and 20 cases with surgery as control group. The index were evaluated including the efficacy of interventional therapy, postoperative blood pressure, account of blood cells, procedure duration, blood loss, hospital stay and postoperative complications. Results All patients in splenic artery interventional embolization group were successfully treated. Reduced procedure duration, less blood loss, less time of hospitalization and less cases with postoperative complications were found significantly (P<0.05) when compared with those in control group. Conclusions Splenic artery interventional embolization was safe and effective in the treatment of patients with traumatic splenic injury.

Key words: Traumatic splenic injury, Interventional embolization, Surgical treatment

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