摘要
目的根据脾脏损伤程度按其轻重、大小、范围进行分级。方法回顾性总结10年来收治的121例脾损伤病例。参照以往国内外的分级方法。归纳出四级分类法。结果Ⅰ级:被膜破裂或孤立裂伤。长度<5.0cm,深度<1.0cm;Ⅱ级:孤立或多发的裂伤,长度>5.0cm,深度>1.0cm。脾门完整;Ⅲ级:不规则破裂,脾门受损或脾已部分离断;Ⅳ级:脾广泛破裂,包膜广泛剥脱。脾血管主干离断。结论脾脏损伤的临床分级对保脾治疗方法的选择具有指导意义。
Objective To classify the splenic injury according to the severity,depth or range of trauma.Methods Altogether 121 splenic injury cases were collected in the past 10 years,and a 4-type classification was established by referring to the routine domestic and overseas ones.Results Type 1:cap- sular disruption or monodisruption,length<5.0era,depth<1.0cm;Type 2:mono-or multiple disrup- tions,lenght>5.0cm,depth>1.0era with intact hilum;Type 3:star-like disruption with hilum injured or shattered partially.Type 4:pulpified spleen with capsule teared extensively and stems of splenic vessels separated.Conclusion Estimating the severity of splenic trauma will give instruction to the clinical prac- tice.
出处
《中华肝胆外科杂志》
CAS
CSCD
1998年第2期99-100,共2页
Chinese Journal of Hepatobiliary Surgery
