Abstract:Objective:To evaluate the application of the spleen-preservation technique in splenic injury.
Methods :The clinical data of 208 cases with splenic trauma were analysed retrospectively. There were, 20 cases treated with non-surgical therapy; 20 cases treated with simple splenorrhaphy, 48 cases with ligation of splenic artery, splenorrhaphy and/or partial splenectomy, 20 treated with splenectomy and autologous spleen transplantation, and 100 cases with simple splenectomy.
Results:In 108 splenic preservation cases, who were operated or non-operated (SP group), the value of lgM and CD3 was significantly higher than that in the splenectomy group (P<0.01); CD8 and CD4 were significantly higher that those of splenectomy group (P<0.05); the percentage of pockmark red cells was lower than that splenectomy group (P<0.01). CT, BUS and 99mTc nuclide scan confirmed that the structure of the preserved spleen had recovered to normal, and the ruptured surface of the spleen had completely healed I mouth after operation.
Conclusions:Most cases of traumatic rupture of spleen can be treated by splenic preservation methods, and the splenic structure and function can recover to normal postoperatively.