Volume 20 Issue 8
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(8): 1336-1338
JIN Jing, TAO Liang. Clinical effect of selective splenic artery embolization in the treatment of traumatic splenic rupture[J]. Chinese Journal of General Practice, 2022, 20(8): 1336-1338. doi: 10.16766/j.cnki.issn.1674-4152.002590
Citation: JIN Jing, TAO Liang. Clinical effect of selective splenic artery embolization in the treatment of traumatic splenic rupture[J]. Chinese Journal of General Practice, 2022, 20(8): 1336-1338. doi: 10.16766/j.cnki.issn.1674-4152.002590
shu

Clinical effect of selective splenic artery embolization in the treatment of traumatic splenic rupture

doi: 10.16766/j.cnki.issn.1674-4152.002590
  • 1.

    Department of General Surgery, Quzhou People' s Hospital, Quzhou, Zhejiang 324000, China

Funds:

 2018RC076

  • Received Date: 2022-03-07
    Abstract
  •   Objective  To evaluate the efficacy and safety of selective splenic artery embolization in the treatment of traumatic splenic rupture.  Methods  A total of 120 patients with traumatic splenic rupture in Quzhou People ' s Hospital from March 2017 to March 2020 were selected. They were divided into control group (60 cases) and study group (60 cases) in accordance with different operation methods. Laparoscopic partial splenectomy was performed in the control group and selective splenic artery embolization was performed in the study group. The operation time, intraoperative blood loss, indwelling time of drainage tube, first postoperative anal exhaust time, first postoperative ambulation time and hospitalisation time were recorded. The levels of IgM, IgA, IgG and other immune factors in peripheral blood before and after operation were detected. The complications within 12 months after operation were followed up.  Results  The operation time, intraoperative bleeding, indwelling time of drainage tube, first exhaust time of anus after operation, first time out of bed and hospital stay after operation in the study group [(94.73±10.62) min, (196.49±24.62) mL, (2.25±0.36) d, (2.65±0.39) d, (2.84±0.41) d and (5.29±0.61) d, respectively] were significantly less than those in the control group [(128.52±12.03) min, (339.62±40.81) mL, (3.57±0.49) d, (3.86±0.51) d, (3.91±0.54) d and (7.46±0.82) d, respectively, all P < 0.05]. No significant difference was found in the levels of IgM, IgA and IgG between the two groups before and 3 months after operation (all P>0.05). The overall incidence of postoperative complications in the study group (6.67%) was significantly lower than that in the control group (21.67%, χ2=5.551, P=0.018).  Conclusion  Selective splenic artery embolization could effectively reduce the surgical trauma of patients with traumatic splenic rupture, shorten the postoperative rehabilitation cycle, less affect the immune function of patients and reduce the risk of postoperative complications.

     

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    • References(20)
  • [1]
    黄景祥, 汤广恩. 外伤性脾破裂治疗方案影响因素的研究分析[J]. 现代诊断与治疗, 2017, 28(15): 2893-2895. doi: 10.3969/j.issn.1001-8174.2017.15.093

    HUANG J X, TANG G E. Analysis of influencing factors of treatment plan for traumatic splenic rupture[J]. Modern Diagnosis and Treatment, 2017, 28(15): 2893-2895. doi: 10.3969/j.issn.1001-8174.2017.15.093
    [2]
    李世佳. 腹腔镜脾切除术与开腹脾切除术治疗外伤性脾破裂的临床对比[J]. 中国伤残医学, 2020, 28(6): 48-49. https://cdmd.cnki.com.cn/Article/CDMD-10183-1015591788.htm

    LI S J. Clinical comparison of laparoscopic splenectomy and open splenectomy for traumatic splenic rupture[J]. Chinese Journal of Trauma and Disability Medicine, 2020, 28(6): 48-49. https://cdmd.cnki.com.cn/Article/CDMD-10183-1015591788.htm
    [3]
    张峰, 姜洪池, 乔海泉, 等. 脾脏损伤的临床分级[J]. 中华肝胆外科杂志, 1998, 4(2): 99-100. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHGD199802019.htm

    ZHANG F, JIANG H C, QIAO H Q. Clinical classification of splenic injury[J]. Journal of Hepatobiliary Surgery, 1998, 4(2): 99-100. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHGD199802019.htm
    [4]
    叶广坡, 项和平, 李贺, 等. 外伤性脾破裂的外科诊治进展[J]. 中国临床保健杂志, 2017, 20(6): 762-765. doi: 10.3969/J.issn.1672-6790.2017.06.039

    YE G P, XIANG H P, LI H, et al. Progress of diagnosis and surgical treatment of traumatic spleen rupture[J]. Chinese Journal of Clinical Healthcare, 2017, 20(6): 762-765. doi: 10.3969/J.issn.1672-6790.2017.06.039
    [5]
    冯业鹏. 外伤性脾破裂的治疗体会研究[J]. 中国农村卫生, 2020, 12(3): 39, 41. https://www.cnki.com.cn/Article/CJFDTOTAL-NCWS202003023.htm

    FENG Y P. Study on the treatment of traumatic rupture of spleen[J]. China Rural Health, 2020, 12(3): 39, 41. https://www.cnki.com.cn/Article/CJFDTOTAL-NCWS202003023.htm
    [6]
    叶广坡, 项和平, 李贺, 等. 外伤性脾破裂的外科诊治进展[J]. 中国临床保健杂志, 2017, 20(6): 762-765. doi: 10.3969/J.issn.1672-6790.2017.06.039

    YE G P, XIANG H P, LI H, et al. Progress of diagnosis and surgical treatment of traumatic spleen rupture[J]. Chinese Journal of Clinical Healthcare, 2017, 20(6): 762-765. doi: 10.3969/J.issn.1672-6790.2017.06.039
    [7]
    吉木伍里. 损伤控制理念在肝脾破裂急诊手术中应用效果分析[J]. 中华普外科手术学杂志(电子版), 2017, 11(3): 244-247. doi: 10.3877/cma.j.issn.1674-3946.2017.03.020

    JIMU W L. The effect and value of damage control concept on emergency operation in the liver and spleen rupture[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2017, 11(3): 244-247. doi: 10.3877/cma.j.issn.1674-3946.2017.03.020
    [8]
    马建中, 张宇, 韩圣瑾, 等. 脾全切除术与脾部分切除术治疗外伤性脾破裂的临床疗效对比[J]. 现代生物医学进展, 2017, 17(24): 4706-4709, 4734. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX201724026.htm

    MA J Z, ZHANG Y, HAN S J, et al. Comparison of clinical efficacy between spleen total resection and spleen partial splenectomy in treatment of traumatic spleen rupture[J]. Progress in Modern Biomedicine, 2017, 17(24): 4706-4709, 4734. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX201724026.htm
    [9]
    曾国祥, 邬善敏, 王柏林, 等. PSE治疗外伤性脾破裂临床疗效及对患者机体免疫功能的影响[J]. 中国现代医生, 2017, 55(24): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYS201724005.htm

    ZENG G X, WU S M, WANG B L, et al. Clinical efficacy of PSE in the treatment of traumatic splenic rupture and its effect on the immune function in patients[J]. China Modern Doctor, 2017, 55(24): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYS201724005.htm
    [10]
    邓昌林, 邹宏文, 李小娇, 等. 外伤性脾破裂患者治疗策略的影响因素分析[J]. 中华普通外科杂志, 2017, 32(11): 937-940.

    DENG C L, ZOU H W, LI X J, et al. Traumatic splenic rupture, conservative vs surgical therapy[J]. Chinese Journal of General Surgery, 2017, 32(11): 937-940.
    [11]
    杨燕茹, 王琳, 吴安琪. 腹腔镜引导二级脾蒂离断切脾术在创伤性脾损伤患者中的临床效果和价值[J]. 中华全科医学, 2021, 19(1): 35-37, 58. doi: 10.16766/j.cnki.issn.1674-4152.001723

    YANG Y R, WANG L, WU A Q. Clinical effect and value of laparoscopic guided secondary spleen pedicle transection in patients with traumatic spleen injury[J]. Chinese Journal of General Practice, 2021, 19(1): 35-37, 58. doi: 10.16766/j.cnki.issn.1674-4152.001723
    [12]
    陈晶, 张悦, 杨雨, 等. 程序化腹腔镜脾切除或脾部分切除术在创伤性脾破裂诊治中的应用[J]. 中华普通外科杂志, 2018, 33(10): 878-879.

    CHEN J, ZHANG Y YANG Y, et al. Application of programmed laparoscopic splenectomy or partial splenectomy in the diagnosis and treatment of traumatic splenic rupture[J]. Chinese Journal of General Surgery, 2018, 33(10): 878-879.
    [13]
    周志涛, 范隼, 何伟良, 等. 腹腔镜脾切除术在外伤性脾破裂中的应用价值[J]. 中华肝脏外科手术学电子杂志, 2019, 8(6): 522-526. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHZW201906013.htm

    ZHOU Z T, FAN S, HE W L, et al. Application value of laparoscopic splenectomy in traumatic splenic rupture[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2019, 8(6): 522-526. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHZW201906013.htm
    [14]
    申琳. 外伤性脾破裂脾动脉介入栓塞术的临床效果[J]. 河南外科学杂志, 2021, 27(2): 100-101. https://www.cnki.com.cn/Article/CJFDTOTAL-HLWK202102044.htm

    SHEN L. Clinical effect of splenic artery interventional embolization in traumatic splenic rupture[J]. Henan Journal of Surgery, 2021, 27(2): 100-101. https://www.cnki.com.cn/Article/CJFDTOTAL-HLWK202102044.htm
    [15]
    卢骏, 夏婷, 李磊, 等. 脾动脉介入栓塞治疗外伤性脾破裂的临床效果及对患者免疫功能的影响[J]. 现代生物医学进展, 2019, 19(10): 1937-1940, 1952. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX201910028.htm

    LU J, XIA T, LI L, et al. Clinical Efficacy of Splenic Artery interventional embolization in the treatment of traumatic splenic rupture and its influence on the immune function[J]. Progress in Modern Biomedicine, 2019, 19(10): 1937-1940, 1952. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX201910028.htm
    [16]
    吴瑞克, 陈新国, 李霞. 选择性脾动脉栓塞术治疗创伤性脾破裂伴休克的疗效分析[J]. 浙江创伤外科, 2019, 24(3): 472-473. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJCW201903022.htm

    WU R K, CHEN X G, LI X. Selective splenic artery embolization in the treatment of traumatic splenic rupture with shock[J]. Zhejiang Journal of Traumatic Surgery, 2019, 24(3): 472-473. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJCW201903022.htm
    [17]
    张雄杰, 毛艳平. 全脾切除术与部分脾切除术对门静脉高压症脾功能亢进患者免疫功能影响的比较[J]. 中华普外科手术学杂志(电子版), 2018, 12(5): 411-413. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHPW201805017.htm

    ZHANG X J, MAO Y P. The comparison of immune function after splenectomy and partial splenectomy in patients with portal hypertension and hypersplenism[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(5): 411-413. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHPW201805017.htm
    [18]
    汪海洋, 陈树军, 刘汝斌. 脾破裂经脾切除治疗后加行大网膜自体脾片种植的临床疗效[J]. 中国医科大学学报, 2018, 47(1): 53-57. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK201801013.htm

    WANG H Y, CHEN S J, LIU R B. Efficacy of omental implantation of autologous splenic segments after splenectomy for traumatic rupture[J]. Journal of China Medical University, 2018, 47(1): 53-57. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYK201801013.htm
    [19]
    牟奇海, 彭科, 邱远, 等. 选择性脾动脉栓塞术对急诊外伤性脾破裂救治的效果探讨[J]. 局解手术学杂志, 2020, 29(5): 410-413. https://www.cnki.com.cn/Article/CJFDTOTAL-JJXZ202005016.htm

    MOU Q H, PENG K QIU Y, et al. Effect of selective splenic artery embolization on emergency treatment of traumatic splenic rupture[J]. Journal of Regional Anatomy and Operative Surgery, 2020, 29(5): 410-413. https://www.cnki.com.cn/Article/CJFDTOTAL-JJXZ202005016.htm
    [20]
    戴东华, 万冬冬. 脾动脉介入栓塞与脾切除术治疗创伤性脾破裂的临床疗效[J]. 中外医疗, 2021, 40(27): 191-194. https://www.cnki.com.cn/Article/CJFDTOTAL-HZZZ202127047.htm

    DAI D H, WAN D D. The clinical effect of splenic artery embolization and splenectomy in the treatment of traumatic splenic rupture[J]. China & Foreign Medical Treatment, 2021, 40(27): 191-194. https://www.cnki.com.cn/Article/CJFDTOTAL-HZZZ202127047.htm
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