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

doi:10.16139/j.1007-9610.2020.03.010

Abstract

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

CLC Number:

R657.6⁺2

ZHANG Lipeng, WANG Zhongmin, ZHAO Xinjian. Splenic artery embolization versus surgery in treatment of traumatic splenic injury: a comparative study[J]. Journal of Surgery Concepts & Practice, 2020, 25(03): 222-226.

Figures/Tables 7

References 17

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项目	脾动脉栓塞组（n=20）	外科手术组（n=20）
性别
男	14	15
女	6	5
年龄（岁）	38.6±8.5	32.3±9.5
脾损伤分级
Ⅰ级	3	3
Ⅱ级	13	11
Ⅲ级	4	6
合并损伤	8	10

项目	脾动脉栓塞组	外科手术组	t值	P值
操作时间（h）	0.5±0.2	2.0±0.4	10.76	<0.05
住院时间（d）	9.0±2.1	14.0±3.7	6.39	<0.05
术后24 h血压（mmHg）	123.1±15.6	115.6±14.9	3.53	<0.05

项目	脾动脉栓塞组	外科手术组	t值	P值
红细胞（10¹²/L ）	3.8±0.5	3.6±0.7	1.23	>0.05
白细胞（10⁹/L）	12.3±3.4	15.8±2.5	2.67	<0.05
血小板（10⁹/L）	232±74	429±139	8.93	<0.05

项目	脾动脉栓塞组（n=20）	外科手术组（n=20）	χ²	P值
术后发热	13	10	0.92	>0.05
术后腹痛	12	9	0.40	>0.05
肠梗阻	0	6	4.90	<0.05