【摘要】 目的 探讨脾破裂保脾的手术方式，以提高脾破裂的诊治水平。方法 回顾分析28例外伤性脾破裂患者的临床资料，分别采用脾破裂修补术，脾部分切除术，自体脾移植术治疗脾破裂。结果

    本组28全部治愈。术后经B超或CT检查证实脾脏或脾片成活。结论 外伤性脾破裂在确保生命安全的前提下，应尽可能保留脾脏，尤其是儿童。保脾手术治愈率高。术后感染率低。

    【关键词】外伤；脾破裂；保脾手术

    【Abstract】 Objective To investigate operation methods obout the spleen of preserving spleen of traumatic rupture in order to improve the diagnosis and treatment effect of traumatic splenic rupture.Methods A group of 28 cases of traumatic splenic rupture was analyzed retrospectively.they were treated by prosthesis of rupture of spleen or partial splenectomy or transplant of autologous spleen.Results 28 cases in the group,all cured.After operation spleen or piece of spleen in body are alive by ultrosonography and CT examination.Conclusion Under the ensurance of the safety of the patients life,Preservation of the spleen should by preformed if possible,especilly children.High curative ratio and low infection rate after spleen surgery.

    【Key words】Trauma;Rupture of spleen;Operation of presering spleen

    随着基础医学的提高 ......