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小儿脾外伤异位脾自体移植的早期和晚期结果

[Early and late results of heterotopic spleen autotransplantation in pediatric splenic trauma].

作者信息

Büyükünal C, Söylet Y, Danişmend N, Urgancicoğlu I, Senyüz O F

机构信息

Kinderchirurgische Klinik, Medizinischen Fakultät Cerrahpaşa der Universität Istanbul, Türkei.

出版信息

Z Kinderchir. 1988 Dec;43(6):394-7. doi: 10.1055/s-2008-1043491.

DOI:10.1055/s-2008-1043491
PMID:3239249
Abstract

In this study, early and late results of heterotopic splenic autotransplantation in 18 children with type IV splenic injuries (Upadhyaya-Simpson classification) are presented. Splenic scintigrams, quantitative analysis of Howell-Jolly inclusion bodies, immunoglobulin (IgG, IgM, IgA) and complement C3 levels and T and B lymphocyte counts were analysed in the postoperative evaluation of the autotransplantation group. The total follow-up period was 7 years. According to our results, splenic implants increased complement C3 levels and improved filtration function of the splenectomized children. This autotransplantation group has two important characteristics: a) it is one of the largest series of the literature (pediatric age group), with b) longest follow-up period.

摘要

在本研究中,呈现了18例IV型脾损伤(Upadhyaya-Simpson分类)儿童进行异位脾自体移植的早期和晚期结果。在自体移植组的术后评估中,分析了脾闪烁扫描、豪-乔小体的定量分析、免疫球蛋白(IgG、IgM、IgA)和补体C3水平以及T和B淋巴细胞计数。总随访期为7年。根据我们的结果,脾植入物提高了补体C3水平,并改善了脾切除儿童的过滤功能。该自体移植组有两个重要特征:a)它是文献中最大的系列之一(儿童年龄组),b)随访期最长。

相似文献

1
[Early and late results of heterotopic spleen autotransplantation in pediatric splenic trauma].小儿脾外伤异位脾自体移植的早期和晚期结果
Z Kinderchir. 1988 Dec;43(6):394-7. doi: 10.1055/s-2008-1043491.
2
[Follow-up of heterotopic autotransplantation of splenic tissue after traumatic splenic rupture in childhood].[儿童外伤性脾破裂后脾组织异位自体移植的随访]
Chirurg. 1994 May;65(5):457-68.
3
Preservation of splenic function by autotransplantation of traumatized spleen in man.人创伤性脾自体移植对脾功能的保存作用。
Surgery. 1981 Oct;90(4):683-8.
4
[Heterotopic autotransplantation of splenic tissue after traumatic rupture of the spleen - a solution after unavoidable splenectomy? (author's transl)].脾脏外伤性破裂后脾组织的异位自体移植——不可避免的脾切除术后的一种解决办法?(作者译)
Z Kinderchir. 1982 Mar;35(3):88-9. doi: 10.1055/s-2008-1059909.
5
Long-term follow-up after heterotopic splenic autotransplantation for traumatic splenic rupture.外伤性脾破裂异位脾自体移植后的长期随访
J Nucl Med. 1991 Feb;32(2):204-7.
6
[Initial clinical experiences with heterotopic autotransplantation of the spleen].[脾脏异位自体移植的初步临床经验]
Chirurg. 1981 Aug;52(8):525-30.
7
Autotransplantation for treatment of severe splenic lesions.自体移植治疗严重脾脏病变。
Emerg Radiol. 2002 Oct;9(4):208-12. doi: 10.1007/s10140-002-0222-y. Epub 2002 Aug 9.
8
Assessment of post-splenectomy residual splenic function. Splenic autotransplants.脾切除术后残余脾功能的评估。脾自体移植。
Int Surg. 1987 Jul-Sep;72(3):149-53.
9
Splenic reticuloendothelial function after splenectomy, spleen repair, and spleen autotransplantation.脾切除、脾修复及脾自体移植后的脾脏网状内皮功能。
N Engl J Med. 1987 Dec 17;317(25):1559-64. doi: 10.1056/NEJM198712173172503.
10
Serum immunoglobulin levels in children after splenectomy. A prospective study.脾切除术后儿童的血清免疫球蛋白水平。一项前瞻性研究。
Am J Dis Child. 1984 Jan;138(1):53-5.

引用本文的文献

1
Splenic regeneration following splenectomy and impact on sepsis: a clinical review.脾切除术后的脾脏再生及其对脓毒症的影响:一项临床综述
J R Soc Med. 2009 Apr;102(4):139-42. doi: 10.1258/jrsm.2009.090039.
2
Splenic artery ligation: a ten-year experience in the treatment of selected cases of splenic injuries in children.脾动脉结扎术:儿童脾损伤特定病例治疗的十年经验
Jpn J Surg. 1991 Mar;21(2):172-7. doi: 10.1007/BF02470905.