Objective: The summary reserves spleen up, parts of spleen resections descending a pole protect spleen surgical operation at the grass-roots hospital in of applied effect. Methods: To 19 reservation spleens up and very with(or) descend parts of resections (protect a spleen set) of the spleen of poles and 20 spleen whole resections, spleen slice transplantation (slice a spleen set) the blood platelets, immunity index sign and the reservation spleen organization survival circumstance carry on contrast analysis after sufferer operation. Results: protect a spleen set Blood platelets' heating up range weremore obviously small than to slice a spleen set, the immunity index sign IgG,IgM and IgA's more slicing a spleen set instauration were quick. Conclusion: Reserve spleen up, descend parts of spleen resections of pole are safe in the middle of protecting spleen surgical operation credibility, compare the all of spleen cut off, spleen slice transplantation can better reservation spleen function, there is good clinical application value at the grass-roots hospital.%目的:总结保留脾上、下极的部分脾切除术在基层医院保脾手术中的应用效果.方法:对19例保留脾上极和(或)下极的脾部分切除术(保脾组)及20例脾全切除、脾片移植术(切脾组)患者术后情况进行对比分析.结果:保脾组患者脾血小板升高幅度明显小于切脾组(P＜0.05),免疫指标lgG、lgM、lgA较切脾组恢复快(P＜0.05).术后腹部B超或CT复查显示保脾组患者脾组织存活率高.结论:保留脾上、下极的部分脾切除术在保脾手术中安全可靠,较脾全切除、脾片移植术能更好保留脾脏功能,在基层医院有良好的临床应用价值.
展开▼
