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[脾脏部分切除术治疗良性及创伤性病变]

[Partial resection of the spleen in the treatment of benign and traumatic lesions].

作者信息

Radević B, Dugalić V, Jesić R, Sagić D, Perisić V, Nenezić D, Popov P, Ilijevski N, Gajin P, Vucurević G, Radak Dj, Trebjesanin Z, Babić D, Matić P

机构信息

Institut za kardiovaskularne bolesti Dedinje, Beograd.

出版信息

Acta Chir Iugosl. 2002;49(3):67-72. doi: 10.2298/aci0203067r.

Abstract

It has been thought that the spleen is an organ without important functions, until recently. That is, why splenectomy has been the procedure of choice in a treatment of splenic diseases. Even now, when we know the functional [figure: see text] importance of the spleen, splenectomy is performed frequently, regardless of its complications. The need of spleen functions salvage, favours partial resection of the spleen as competitive in a treatment of its traumatic and benign lesions. Improvement in diagnostic procedures, surgical techniques, transfusiology and postoperative treatment, will promote it as a treatment of choice. The authors of this study have experience with 17 partial resections of the spleen for traumatic, 11 for benign lesions of the spleen, and one ectopic spleen with hypersplenism, without mortality and with insignificant complications.

摘要

直到最近,人们一直认为脾脏是一个没有重要功能的器官。也就是说,这就是为什么脾切除术一直是治疗脾脏疾病的首选手术。即使在现在,当我们知道脾脏的功能重要性时,脾切除术仍经常进行,而不考虑其并发症。挽救脾脏功能的需求,使得脾脏部分切除术在治疗脾脏创伤性和良性病变方面具有竞争力。诊断程序、手术技术、输血学和术后治疗的改进,将使其成为首选治疗方法。本研究的作者有17例因创伤行脾脏部分切除术的经验,11例因脾脏良性病变行脾脏部分切除术,1例异位脾伴脾功能亢进行脾脏部分切除术,无死亡病例,并发症轻微。

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