To Evaluate The Clinical Application Value Of Radiofrequency Ablation For Preserving Ruptured Spleen

Objective To investigate the Clinical application value of Radiofrequency ablation for Preserving Ruptured Spleen.Methods A retrospective analysis of 30 cases of traumatic splenic repture patients was made in the Second People’s Hospital of Yunnan Province from March 2016 to March 2018 were divided into observation group and control group.The observation group was treated with Radiofrequency ablation assisted spleen-preserving operation.The control group were treated with traditional splenorrhaphy.Reviewed the clinical date of these patients,Analyzed and compared the operative time,intraoperative blood loss,postoperative drainage tube days,hospitalization days,postoperative adverse reacions in the two groups.Result All the spleen-preserving operation were successful in both groups.There was no statistical difference in gender,age,preoperative hemoglobin,spleen injury level between observation group and control group(P>0.05).There were statistical difference(P<0.05)the operative time(96.33± 19.95min)and(175.47±25.56min),intraoperative blood loss(270 ±64.81ml)and(484 ± 125.46ml),postoperative drainage tube days(6.73 ±1.28d)and(9.53 ±1.51d),hospitalization days(10.6 ±2.38d)and(15.8 ±2.91d)between observation group and control group.The number of postoperative adverse reacions in the observation group was 1,that one case caought fever and the symptom alleviated after symptomatic treatment.There was one case had rebleeding sign afeter the operation in the control group.The conservative treatment was successful after the drug hemostatic treatment.In addition,patients experienced postoperative pain in the left upper quadrand mild elevation of platelets and other adverse reactions.All patients were spleen-preserving and did not undergo secondary surgery.Conclusion From this small sample study,it can be seen that RFA-assisted spleen-preserving operation is simpler,safer,more feasible and effective as a spleen preserving method than traditional splenorrhaphy,with the advantages of short operation time,less intraoperative blood loss,faster postoperative recovery,and fower postoperative adverse reacions,and provides another excellent choice for modern spleen-preserving operation.