Aidonopoulos A P, Papavramidis S T, Goutzamanis G D, Filos G G, Deligiannidis N P, Vogiatzis I M
Surgical Department III, A.H.E.P.A Hospital, Aristotelian University of Thessaloniki, Macedonia, Greece.
Eur J Surg. 1995 Apr;161(4):247-51.
To evaluate the results of splenorrhaphy by a 'figure of eight' suture in patients with multiple injuries.
Open clinical study.
University hospital, Greece.
25 patients with multiple injuries after blunt abdominal trauma, 11 of whom were children. There were 2 grade II, 20 grade III, and 3 grade IV injuries.
Diagnostic peritoneal lavage resulted in blood-stained effluent in all cases. A 'figure of eight' suture technique with size 0 chromic catgut mounted on a hepatic needle was used. A thin layer of sterile oxidised cellulose (Surgical) was placed over the laceration and round each knot.
Mortality, morbidity, incidence of reoperation, measurements of splenic function, and adequacy of repair as judged by scintigraphy, ultrasonography, and computed tomography.
There were no deaths as a result of splenic injury. Haemorrhage from the spleen was controlled in 23 patients. The remaining two, both of whom had grade IV injuries, required ligation of the vessels of the lower pole and hemisplenectomy combined with suture. Two patients with grade III injuries bled subsequently and required splenectomy. Splenic function was good in all patients. Examination by imaging techniques showed intact and functioning splenic parenchyma.
The 'figure of eight' suture technique is a safe and reasonably successful way of controlling bleeding from a damaged spleen in a patient with multiple injuries.
评估采用“8 字”缝合法对多发伤患者进行脾修补术的效果。
开放性临床研究。
希腊大学医院。
25 例钝性腹部创伤后多发伤患者，其中 11 例为儿童。有 2 例Ⅱ级损伤、20 例Ⅲ级损伤和 3 例Ⅳ级损伤。
所有病例诊断性腹腔灌洗均引出血性液体。采用 0 号铬制肠线安装在肝针上的“8 字”缝合法。在裂伤处及每个结周围放置一层薄的无菌氧化纤维素（外科用）。
死亡率、发病率、再次手术发生率、脾功能测定以及通过闪烁扫描、超声和计算机断层扫描判断的修补 adequacy。
无因脾损伤导致的死亡。23 例患者脾出血得到控制。其余 2 例均为Ⅳ级损伤，需要结扎下极血管并联合缝合进行半脾切除术。2 例Ⅲ级损伤患者随后出血，需要行脾切除术。所有患者脾功能良好。影像学检查显示脾实质完整且功能正常。
“8 字”缝合法是控制多发伤患者受损脾脏出血的一种安全且较为成功的方法。
