Objective To compare the in situ splenectomy with secondary splenic pedicle transection superiority with tradi-tional splenectomy in treatment of patients with portal hypertension. Methods Three hundred and three portal hypertension patients trealed with splenectomy were involved in the relrospeclive study. They were divided into two groups. The influences of the two approaches on the paramelers such as inlraoperalive btood toss,operative duralion and complications incidence rate were compared. Results The inlraoperalive btood toss and postoperalive complications incidence rate were significant differenl between the two groups ( P < 0. 05 ) , although there was no significant difference in operative duralion. Conclusions The in situ splenectomy with secondary splenic-pedicle transection is more suitable for patienls with massive splenomegaly than conventional procedures since the procedure is safer and less traumalic.%目的 探讨原位二级脾蒂离断脾脏切除术在门脉高压脾切除中较传统脾脏切除术的优越性.方法 将303例因门脉高压拟行脾切除术的患者分为传统组117例和原位组186例,分别行传统脾脏切除术及原位二级脾蒂离断脾切除术,对两组患者的术中失血量、手术时间、术后并发症发生率等方面进行比较.结果 两组手术时间差异无统计学意义(P>0.05),失血量、并发症发生率差异有统计学意义(P<0.05).结论 与传统脾切除术比较,原位二级脾蒂离断脾脏切除术更适合于门静脉高压症巨大脾脏的切除,创伤性更小,安全性更高.
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