安徽医科大学学报Issue(2)：271-273,3.
改良原位巨脾切除对脾体积和手术安全的影响
Effect of modified orthotopic megasplenectomy on the spleen volume and operation safety
摘要
Abstract
With a 1 : 4 matched case-control study design, 60 cases underwent orthotopic megasplenectomy were selected,among them,12 cases with splenic vein's secondary branch cutting in the last step were grouped to modi-fied group, and the other 48 cases underwent routine orthotopic megasplenectomy were grouped to control group. In modified group, before and after operation, there were no significant differences in the spleen length( cm) (19.28±3.90 vs 18.29±2.96, P>0.05) and thickness(cm)(7.21±2.54 vs 6.41±1.11,P>0.05),blood transfu-sion was positively correlated with bleeding(r=0.717, P<0.01). Compared with control group,the bleeding and transfusion volume and adverse event rate were significantly reduced in the modified group, suggesting that modified orthotopic megasplenectomy was safe and effective.关键词
巨脾切除/原位脾切除/门静脉高压/自身配对/匹配Key words
megasplenectomy/splenectomy in situ/portal hypertension/self-matching comparison/matching分类
医药卫生引用本文复制引用
汪圣毅,郭爱军,韩涵,王宁,郑立平,宋景戈,刘弋..改良原位巨脾切除对脾体积和手术安全的影响[J].安徽医科大学学报,2014,(2):271-273,3.基金项目
安徽高校省级自然科学研究项目(编号:KJ2012Z180) （编号:KJ2012Z180）
安徽省博士后研究人员科研经费资助项目(2011年) （2011年）
