脾外伤

目的：探讨CT检查对脾外伤的诊断与分型以及对临床的价值。

Objective : To evaluate the clinic value of CT exam in diagnosis and classification of splenic trauma .

结果：根据CT表现将脾外伤分为3型：Ⅰ型（包膜下积血）18例；

Results : Based on CT manifestation , the splenic trauma can divided into 3 types : type ⅰ subcapsular hematoma 18 cases ;

目的：探讨螺旋CT扫描在脾外伤诊断和治疗中的价值。

Objective : To investigate and analysis CT evaluation in diagnosis and therapy of splenic injures .

结果3例均有脾外伤，脾切除病史（18个月至27年），MRI检查表现为左上腹部包块，1例为多发包块。

Results All of them had prior abdominal trauma and splenectomy ( from 18 month to 27 years ) . MRI showed abdominal masses .

摘要：目的探讨超声造影（CEUS）在脾外伤治疗方法的选择及超声引导局部注射治疗中的作用。

ABSTRACT : Objective To study the role of contrast-enhanced ultrasound ( CEUS ) in the management of splenic trauma .

结论CEUS能够为脾外伤治疗方案的选择提供可靠依据，同时还可用于引导局部注射治疗，实现脾外伤的超声介入治疗。

Conclusion CEUS can provide reliable information for therapy mode selection in patients with splenic trauma and can be used to guide injective therapy .

结论：小儿脾外伤采用非手术治疗可以避免不必要的手术，减少不必要的监护，降低治疗费用。

Conclusion : Non operative therapy of splenic trauma is safe .

脾外伤保脾手术治疗47例报告

Spleen conserving operations for splenic traumas : a report of 47 cases

实时超声对脾外伤的诊断价值

Diagnostic Value of Real - time Ultrasound for Spleen Trauma

脾外伤的临床分级和诊治体会

Clinical classification , diagnosis and treatment of spleen trauma

目的探讨儿童脾外伤非手术治疗的特殊性。

Objective To study the non operative treatment of splenic trauma in children .

脾外伤129例的诊治分析

Clinical analysis of splenic trauma in 129 cases

非手术治疗占同期脾外伤20%（23/115）。

Nonoperative therpy accounts for 20 % in the treatment of all splenic trauma .

脾外伤11例，级以上4例。

Eleven had splenic trauma , 4 of whom had grade ⅲ or above .

目的：恢复脾外伤患者的脾功能，提高其生存质量。

Objective : To recover the splenic function .

6例正常脾外伤性破裂患者的手术脾脏作为对照组。

The spleens from 6 cases of traumatic spleen rupture were regarded as control group .

本文旨在进一步探讨其对脾外伤的诊断价值。

This article is for the purpose of further discussing it to the spleen flesh wound diagnosis value .

方法对严重脾外伤患者行自体腹膜后带蒂脾移植术，应用99mTc-植酸钠胶体法和99mTc-热变性红细胞法观察自体脾移植后患者脾功能。

Methods To observe function of transplanted spleen from itself with 99mTc-sodium phytate colloid and 99mTc-hot denaturation of red cell .

目的探讨脾外伤脾门破裂原位保留脾脏的手术方法。

Objective To explore the operational method of retaining spleen at its original place when spleen trauma and spleen rupture happens .

方法回顾性总结20年140例脾外伤的临床资料。

Methods Clinical data of 140 cases of spleen trauma treated in our hospital in the past 20 years were retrospectively analyzed .

随着人们对脾脏免疫功能重要性的深入了解，脾外伤后保留脾脏的观点已被人们所普遍接受。

With increasing awareness of the importance of the immunologic splenic function , the preservation of the spleen in the management of splenic trauma has been widely accepted .

结果非手术治疗成功率79.3%（23/29），非手术治疗占同期脾外伤的20%。

Results Non operative therapy rate accounted for 20 % in the treatment of all traumatic spleen and the successful rate was 79.3 % ( 23 / 29 ) .

结果由于制订了合理的临床分级标准，指导临床对脾外伤的处理，较10年前提高了治愈率，降低了术后并发症和术后病死率，同时也提高了保脾手术的成功率。

Results Because of the establishment of standard for classification of spleen trauma , the curative rate and successful rate of reserved splenectomy were significantly increased but postoperative complications and mortality remarkably decreased as compared with those ten years ago .

结论儿童脾外伤后应根据病情和脾脏损伤的程度选择合理的治疗方式，对于脾切除患儿自体脾片移植是安全有效的疗法。

Conclusion The decision on adequate management of traumatic splenic rupture in children should be made on the basis of the patient 's condition and severity of spleen injury , and autologous spleen transplantation can be safe and effective in children with splenectomy .

保留脾手术治疗外伤性脾破裂

Conservative management in the treatment of traumatic splenic rupture

37例部分脾动脉栓塞术治疗外伤性脾破裂的护理

Nursing Care for Patients With Traumatic Spleen Rupture After Partial Splenic Embolization

部分脾动脉栓塞术治疗外伤性脾破裂的实验研究与临床应用

Experimental study and clinical utilization of partial splenic embolization in treating traumatic spleen rupture

脾动脉栓塞治疗外伤性脾破裂28例临床疗效观察

Clinical therapeutic effect of splenic arterial embolization on rupture of spleen in 28 cases

保脾手术治疗脾外伤52例分析

Splenic Salvage on 52 Cases of Spleen Trauma

目的探讨保脾手术在治疗外伤性脾破裂中的应用。

Objective To investigate the application of protect spleen operation in treating traumatic spleen broken .