Title: Treatment of traumatic rupture of the spleen:a report of 208 cases
Abstract: Objective To evaluate the application of the spleen-preservation technique in splenic injury.Methods The clinical data of 208 cases with splenic trauma were analysed retrospectively.There were,20 cases treated with non-surgical therapy;20 cases treated with simple splenorrhaphy,48 cases with ligation of splenic artery,splenorrhaphy and/or partial splenectomy,20 treated with splenectomy and autologous spleen transplantation,and 100 cases with simple splenectomy.Results In 108 splenic preservation cases,who were operated or non-operated(SP group),the value of lgM and CD3 was significantly higher than that in the splenectomy group(P0.01);CD8 and CD4 were significantly higher that those of splenectomy group(P0.05);the percentage of pockmark red cells was lower than that splenectomy group(P0.01).CT,BUS and 99mTc nuclide scan confirmed that the structure of the preserved spleen had recovered to normal,and the ruptured surface of the spleen had completely healed I mouth after operation.Conclusions Most cases of traumatic rupture of spleen can be treated by splenic preservation methods,and the splenic structure and function can recover to normal postoperatively.
Publication Year: 2008
Publication Date: 2008-01-01
Language: en
Type: article
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