关键词: 外伤性脾破裂, 切脾, 保脾

Abstract: 【Abstract】〓Objective〓To report the 10 years experience in diagnosis and treatment for traumatic splenic rupture. Methods〓The clinical data of trauma splenic rupture were retrospectively analyzed. A total of 216 cases admitted to our hospital in recent 10 years were included in the study. Patients in the first five years were served as group A, and those in the second 5 years were group B. The clinical data were compared between two groups. Results〓In 216 patients, 81 cases underwent conservative treatment, and 135 cases were performed surgical treatment, including 5 cases of delayed splenic rupture. The rate in A group treated with conservative approach was significantly increased than that in B group (P<0.05), and the incidence of complications, blood transfusion and hospitalization time had no significant difference between two group. Conclusion〓Non operative treatment gradually increases in patients with traumatic splenic rupture. Splenectomy and spleen preserving should take into account the splenic injury degree and the hemodynamics in patients for individualized treatment.

Key words: Splenic repture, Splenectomy, Spleen preservation