Selective splenic artery embolization for clinical analysis of traumatic splenic rupture

Objective The selective splenic artery embolization and splenectomy for traumatic rupture were analyzed.Methods The clinical data of 16 cases admitted to selective splenic artery embolization and surgical treatment of 42 cases of traumatic rupture were analyzed.Results 12 cases of grade Ⅰ,Ⅱ injury patients with selective splenic artery embolization were successfully preserving spleen,4 cases of grade Ⅲ above line rupture in patients with selective splenic artery embolization.2 patients were changed to open surgery.The success rate of selective splenic artery embolization was 87.5%(14/16).The success of selective splenic artery embolization in patients with average length of stay(7.5±2.0) d,open surgery with an average length of stay(12.3±3.6) d.56 cases were cured and 2 cases died.Conclusion Spleen Ⅰ,Ⅱ grade injury treatment with spleen-preserving treatment to the main selective splenic artery embolization,Ⅲ and above the main rupture of the spleen resection.