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외상성 비장 손상의 외과적 고찰 및 치료 방법에 대한 비교
배희열 ( Hee Yeol Bae ),정봉화 ( Bong Wha Chung ),이기주 ( Ki Chu Lee ),배수동 ( Soo Tong Pai ) 대한외상학회 1990 大韓外傷學會誌 Vol.3 No.2
Injuries to the speen are commonly encountered by surgeons treating the patients with abdominal trauma. With documentation that overwhelming postsplenectomy infection can occur after splenectomy for trauma, splenic salvage procedure rather than splenectomy have been considered the preferred treatment for traumatic splenic injuries. Splenic salvage has been most often accomplished by splenorrhaphy and more recently by a controversial non-operative approach. This report delineated results with splencetomy, splenorrhaphy and non-operative approach based on 7 years (1984-1990) inwhich 150 consecutive patients with splenic injuries were treated. Results were as follow: 1) The ratio of male to female patients was 2.75: 1 and peak incidence of age was the 3rd decade. 2) The most common cause of splenic injury(52%)was the traffic accident. 3) The most common site of associated trauma is liver(45%)in intraperitoneum and is rib fractures(98%)in extraperitoneum. 4) Of these, 95 patients were treated by splenectomy, 42 patients by splenorrhaphy and 13 patients by non-operative management. 5) Comparative studies of main complication were evaluated by analyzing the values of two groups dividing on each preoperative status concerning to the multiplicity of associated injury, grade of splenic injury and arrival time with X2-test to find higher significance in group of multiple injuries than the opposite group(p< 0.0005). 6) Comparative studies of operative methods were evaluated by analyzing value of two group dividing on duration of operation, amount of transfusion and complica-tion rate with t-test. On result, it was not found any evidence that splenectomy was superior to splenorrhaphy. 7) The overall motality rate was 9.3%.