原位脾切除术的临床价值及特点
Jilin Medical Journal(2015)
Abstract
目的:探讨原位脾切除手术治疗巨脾的临床价值及特点.方法:将47例巨脾患者随机分成两组,观察组行原位脾切除,对照组行传统方法脾切除,观察两组术中出血量,术后24h脾窝引流量及并发症发生情况.结果:两组均无手术死亡,与对照组比较术中出血量、术后24h脾窝引流量减少,胰漏、肺部感染、门静脉血栓形成并发症发生率降低(P<0.05).结论:原位脾切除具有出血量少,脾窝引流量少,并发症少的特点,与传统的脾切除术相比创伤性更小,安全性更高,值得推广.
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