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

摘要： 【摘要】〓目的〓报告外伤性脾破裂的诊断及治疗体会。方法〓回顾性分析10年来我院收治的216例脾外伤患者的临床资料,并将前5年病例为对照组,后5年病例为治疗组,对比分析其诊断、治疗方法、并发症发生率。结果〓216例患者中,81例非手术治疗成功,135例行手术治疗,其中5例为延迟性破裂行脾切除;两组对照,近5年病人非手术病例治疗比例显著提高(P<0.05),而并发症发生率、输血量、住院时间无明显差异(P>0.05)。结论〓非手术治疗脾外伤在临床中的比例逐渐提高,切脾、保脾应兼顾脾损伤的程度和病人的血流动力学情况行个体化治疗。

关键词: 外伤性脾破裂, 切脾, 保脾