| 周喜田,王卫国.比较脾动脉栓塞与脾切除术治疗钝性脾损伤[J].中国介入影像与治疗学,2025,22(12):764-768 |
| 比较脾动脉栓塞与脾切除术治疗钝性脾损伤 |
| Comparison on splenic artery embolization and splenectomy for treating blunt splenic injury |
| 投稿时间：2025-10-16 修订日期：2025-11-28 |
| DOI：10.13929/j.issn.1672-8475.2025.12.003 |
| 中文关键词: 脾疾病 脾切除术 栓塞,治疗性 |
| 英文关键词:splenic diseases splenectomy embolization,therapeutic |
| 基金项目: |
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| 中文摘要: |
| 目的 对比脾动脉栓塞（SAE）与脾切除术（SP）治疗钝性脾损伤（BSI）的价值。方法 回顾性纳入67例BSI，按治疗方式分为SAE组（n=21）与SP组（n=46）；比较组间临床资料，观察不同方式治疗效果及安全性。结果 对67例均成功完成治疗。SAE组休克指数、美国创伤外科协会（AAST）分级、治疗后抗血小板占比及治疗后中-重度腹痛占比均低于，而接受保守治疗及观察者占比、入院至治疗时间、治疗后卧床时间及治疗至抗血小板时间均高于SP组（P均＜0.05）。2组血小板均于治疗后2周达峰值；相比SP组，SAE组治疗后血小板上升速度更慢、同时段内血小板计数更低。结论 SAE与SP治疗BSI效果相当，但SAE创伤更小、治疗后血栓栓塞及短期再出血风险更低。 |
| 英文摘要: |
| Objective To compare the value of splenic artery embolization （SAE） and splenectomy （SP） for treating blunt splenic injury （BSI）. Methods Totally 67 BSI patients were retrospectively enrolled and divided into SAE group （n=21） and SP group （n=46） based on treatment methods. Clinical data were compared between groups， and the efficacy and safety of treatments were comparatively analyzed. Results All 67 cases were successfully treated. The shock index， American Association for the Surgery of Trauma （AAST） classification， the proportion of antiplatelet therapy after treatment and moderate-to-severe abdominal pain incidence after treatment in SAE group were lower， while the proportion of conservative observation， time from admission to treatment， bed rest time after treatment and time from treatment to antiplatelet therapy were higher in SAE group than those in SP group （all P＜0.05）. The platelets reached the peak at 2 weeks after treatment in both groups. Compared with SP group， platelet in SAE group increased slower， and platelet counts during the same period after treatment were lower. Conclusion The efficacy of SAE and SP for treating BSI were equivalent， but SAE had less trauma， lower risk of thromboembolism and short-term rebleeding after treatment. |
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