Abstract: 【Abstract】...Objective...To compare curative effects of laparoscopic splenectomy and open splenectomy fracture treatment on traumatic spleen,investigating the feasibility and safety of LS. Methods〓Forty-five cases of traumatic splenic rupture patients is divided into laparoscopy group (group LS, 18 cases) and open surgery group (group OS, 27 cases) according to the operation mode, Comparing two groups of operative time,.bleeding volume,.postoperative anal exhaust time,.postoperative hospitalization time and incidence of complications. Results〓The average operation time between of OS group and LS group is no statistically significant difference(P>0.05),.and the amount of hemorrhage,.postoperative anal exhaust time,postoperative hospitalization time and incidence of complications are better than those of group OS..which was statistically significant(P<0.05). Conclusion〓The clinical curative effect of traumatic splenic rupture by laparoscopic splenectomy is better than the traditional open surgery, which is feasible, safe and effective on clinical.

Key words: Laparoscopic, Splenectomy, Traumatic rupture of spleen

摘要： 【摘要】〓目的〓对比腹腔镜脾切除术(LS)与开腹脾切除术(OS)在外伤性脾破裂治疗的临床疗效,探讨LS的可行性、安全性。方法〓将45例外伤性脾破裂患者根据手术方式分为腹腔镜组(LS组)和开腹组(OS组)。LS组18例,OS组27例,比较2种术式的手术时间、手术出血量、术后肛门排气时间、术后住院时间以及并发症发生率。结果〓LS组的平均手术时间与OS组差异无统计学意义(P>0.05),手术出血量、术后肛门排气时间、术后住院时间以及并发症发生率均优于OS组。差异有统计学意义(P<0.05)。结论〓腹腔镜脾切除术治疗外伤性脾破裂的临床疗效优于传统开腹手术,在临床上是可行、安全有效的。

关键词: 腹腔镜, 脾切除, 外伤性脾破裂