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本文引用的文献

1
Laparoscopic splenectomy complicated by pancreatic cyst in the course of Hodgkin's disease: case report.霍奇金病病程中腹腔镜脾切除术并发胰腺囊肿：病例报告
Wideochir Inne Tech Maloinwazyjne. 2013 Dec;8(4):352-6. doi: 10.5114/wiitm.2011.35086. Epub 2013 May 13.
2
Laparoscopic splenectomy for splenomegaly using a homemade retrieval BAG.使用自制回收袋行腹腔镜脾肿大脾切除术。
Wideochir Inne Tech Maloinwazyjne. 2013 Dec;8(4):327-33. doi: 10.5114/wiitm.2011.35433. Epub 2013 May 28.
3
Consensus strategies for the nonoperative management of patients with blunt splenic injury: a Delphi study.钝性脾损伤非手术治疗患者的共识策略：一项 Delphi 研究。
J Trauma Acute Care Surg. 2013 Jun;74(6):1567-74. doi: 10.1097/TA.0b013e3182921627.
4
Laparoscopic surgery of the spleen through single umbilical incision.经单脐部切口行腹腔镜脾脏手术。
Wideochir Inne Tech Maloinwazyjne. 2013 Mar;8(1):8-12. doi: 10.5114/wiitm.2011.30826. Epub 2012 Sep 29.
5
Non operative management of abdominal trauma - a 10 years review.腹部创伤的非手术治疗- 10 年回顾。
World J Emerg Surg. 2013 Apr 5;8:14. doi: 10.1186/1749-7922-8-14. eCollection 2013.
6
Complications arising from splenic artery embolization: a review of an 11-year experience.脾动脉栓塞术后并发症：11 年经验回顾。
Am J Surg. 2013 Mar;205(3):250-4; discussion 254. doi: 10.1016/j.amjsurg.2013.01.003. Epub 2013 Jan 31.
7
Prognostic factors for failure of nonoperative management in adults with blunt splenic injury: a systematic review.成人钝性脾损伤非手术治疗失败的预测因素：系统评价。
J Trauma Acute Care Surg. 2013 Feb;74(2):546-57. doi: 10.1097/TA.0b013e31827d5e3a.
8
At first blush: absence of computed tomography contrast extravasation in Grade IV or V adult blunt splenic trauma should not preclude angioembolization.乍一看：在 IV 级或 V 级成人钝性脾外伤中，如果没有计算机断层扫描（CT）造影外渗，不应该排除血管栓塞术。
J Trauma Acute Care Surg. 2013 Jan;74(1):105-11; discussion 111-2. doi: 10.1097/TA.0b013e3182788cd2.
9
Prevention of early infective complications after laparoscopic splenectomy with the Garamycin sponge.使用庆大霉素海绵预防腹腔镜脾切除术后早期感染性并发症
Wideochir Inne Tech Maloinwazyjne. 2012 Jun;7(2):105-10. doi: 10.5114/wiitm.2011.27151. Epub 2012 Mar 27.
10
Selective nonoperative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline.选择性非手术治疗钝性脾损伤：东部创伤外科学会实践管理指南。
J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S294-300. doi: 10.1097/TA.0b013e3182702afc.

钝性脾损伤患者非手术治疗的文献综述：脾动脉栓塞的影响

Literature review of non-operative management of patients with blunt splenic injury: impact of splenic artery embolization.

作者信息

Sosada Krystyn, Wiewióra Maciej, Piecuch Jerzy

机构信息

Department of General and Bariatric Surgery and Emergency Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2014 Sep;9(3):309-14. doi: 10.5114/wiitm.2014.44251. Epub 2014 Jul 23.

DOI:10.5114/wiitm.2014.44251
PMID:25337151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4198651/
Abstract

Splenic injuries constitute the most common injuries accompanying blunt abdominal traumas. Non-operative treatment is currently the standard for treating hemodynamically stable patients with blunt splenic injuries. The introduction of splenic angiography has increased the possibility of non-operative treatment for patients who, in the past, would have qualified for surgery. This cohort includes mainly patients with severe splenic injuries and with active bleeding. The results have indicated that applying splenic angioembolization reduces the frequency of non-operative treatment failure, especially in severe splenic injuries; however, it is still necessary to perform prospective, randomized clinical investigations.

摘要

脾损伤是钝性腹部创伤中最常见的伴随损伤。目前，非手术治疗是治疗血流动力学稳定的钝性脾损伤患者的标准方法。脾血管造影术的引入增加了过去符合手术条件的患者进行非手术治疗的可能性。这一队列主要包括脾严重损伤和有活动性出血的患者。结果表明，应用脾血管栓塞术可降低非手术治疗失败的频率，尤其是在严重脾损伤患者中；然而，仍有必要进行前瞻性、随机临床研究。