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目的 探讨儿童自体脾组织移植的疗效和临床意义。方法 40 例儿童外伤性脾破裂脾切除后行自体脾组织片移植在大网膜,随访1 ~6a。结果 37 例术后第5wk,患儿血小板和IgA、IgG、IgM恢复正常(92 .5% ) 。3 例血小板高于正常(7 .5 %) 。25 例行放射性核素99m Tc 扫描,可见浓密的移植脾片影。结论 儿童自体脾组织片移植成为外伤性脾破裂脾切除术后保持脾脏功能的一种安全有效的方法。
Objective To investigate the curative effect and clinical significance of autologous spleen transplantation in children. Methods Forty children with splenectomy after traumatic splenectomy were performed autograft splenomegaly transplanted on the omentum and followed up for 1 ~ 6 years. Results Thirty-seven patients had normal platelet and IgA, IgG and IgM at 92 days after operation (92.5%). Three cases of platelets than normal (7.5%). 25 cases of radionuclide 99m Tc scan, we can see dense splenic spleen shadow. Conclusion Child splenic autotransplantation is a safe and effective method for maintaining spleen function after traumatic splenectomy and splenectomy.