تدبير أذيات الطحال الرضية
Abstract
The research aims to evaluate the management of traumatic splenic inguries ,in Tishreen university hospitals .and compare with the universal methods of management .
This study included 32 adult patients admitted in the department of surgery at Alassad University Hospital and tishreen University Hospital in lattakia from the
beginning of september 2015 until the end of february 2017.
32 pateints (24 males,8 females),17 pateints with blunt tauma,11 pateints with penetrating trauma,4 pateints with iatrogenic trauma.there were another abdominal injuries in13 pateints (40.6%).
The management was surgical in (65.6%) ,non surgical in (34.4%).the surgical management was total splenectomy in( 81%),splenorrhaphy in( 19%).
Splenic artery embolization weren't used in any case.
أجريت الدراسة بهدف تقييم طرق تدبير أذيات الطحال الرضحية في مشافي جامعة تشرين ومقارنتها مع الطرق المتبعة عالميا.
شملت الدراسة جميع المرضى المقبولين في قسم الجراحة بتشخيص أذية طحال رضحية في مشافي جامعة تشرين في الفترة بين 1\9\ 2015و 1\3\2017
32 مريض (24 ذكر و8 اناث),17 مريض رضح كليل,11 مريض رضح نافذ,4 مرضى رضح خلال جراحة بطنية.وترافقت الأذية الطحالية مع أذيات بطنية مرافقة في 13 مريض(40.6%).كان التدبير جراحيا في 65.6% من الحالات وغير جراحي في 34.4%.العلاج الجراحي كان استئصال طحال تام في 81%من الحالات و رفو الطحال في 19%,لم يتم إجراء تصميم الشريان الطحالي في أي حالة .
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