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保留脾脏的系列手术的临床应用

Clinical application of serial operations with preserving spleen.

作者信息

Jiang H C, Sun B, Qiao H Q, Xu J, Piao D X, Yin H

机构信息

Department of General Surgery, First Clinical Hospital, Harbin Medical University, Harbin 150001, China.

出版信息

World J Gastroenterol. 2001 Dec;7(6):876-9. doi: 10.3748/wjg.v7.i6.876.

Abstract

AIM

To evaluate the clinical application of serial operations with preservation of spleen.

METHODS

Serial operations with preserving spleen were performed on 211 cases in our hospital from 1980 to 2000. The patient's age ranged from 13 to 56 years, averaging 38 years. Diseases included splenic injury in 171 cases, portal hypertension in 9 cases, splenic cyst in 10 cases, and the lesion of pancreatic body and tail in 21 cases.

RESULTS

All the cases were cured, and 129 patients were followed up from 3 months to 3 years with the leukocyte phagocytosis test, detection of immunoglubin, CT,(99m)Tc scanning and ultrasonography. The results were satisfactory.

CONCLUSION

The operations with preserving spleen were safe, feasible, and worth of clinical application.

摘要

目的

评估保留脾脏的系列手术的临床应用。

方法

1980年至2000年我院对211例患者实施了保留脾脏的系列手术。患者年龄在13至56岁之间,平均38岁。疾病包括脾损伤171例、门静脉高压9例、脾囊肿10例、胰体尾部病变21例。

结果

所有病例均治愈,对129例患者进行了3个月至3年的随访,检查项目包括白细胞吞噬试验、免疫球蛋白检测、CT、(99m)锝扫描及超声检查。结果令人满意。

结论

保留脾脏的手术安全、可行,值得临床应用。

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