Effect of interventional therapy on the effectiveness of traumatic splenic rupture and the amount of blood loss

ObjectiveTo investigate the effectiveness of interventional therapy in patients with traumatic splenic rupture and the effect of the amount of blood loss.

MethodsA total of 68 patients with traumatic splenic rupture were selected as subjects, and randomly divided into the control group(n=34) and the observation group(n=34) using a double-blind randomized method.The control group received surgical treatment, while the observation group received selective interventional embolization.The effect of the two groups was evaluated at 5 days after operation, and the patients were followed up for 6 months after operation.Surgical indicators, VAS scores, inflammatory factors, and quality of life were compared between the two groups.

ResultsNo laparotomy or reoperation occurred.There was no statistical significance in the operation time between the two groups(P>0.05).In the observation group, anal exhaust, hospital stay, intraoperative blood loss, hospital expenses and postoperative feeding time were shorter (less) than those in the control group(P < 0.01).Postoperative scores of 1, 3, 5 and 7 d VAS in both groups were lower than those before surgery (P < 0.01).Postoperative scores of 1, 3, 5 and 7 d VAS in the observation group were all lower than those in the control group(P < 0.01).White blood cell count, CRP, Cor and EP levels were higher in both groups at 5 d after operation than before(P < 0.05).The white blood cell count, CRP, Cor and EP levels in the observation group were all lower than those in the control group 5 days after operation(P < 0.01).The 5 d QOL score after operation was higher in both groups than before nursing(P < 0.05 to P < 0.01).The scores of 5 d PH, RP, BP, GH, VT, SF, RE and MH in the observation group were all higher than those in the control group(P < 0.01).

ConclusionsInterventional therapy can reduce the amount of bleed loss in patients with traumatic splenic rupture, relieve the pain, reduce the level of inflammatory factors, and contribute to the improvement of patients' quality of life.Moreover, this treatment method is safe and can reduce the postoperative recurrence rate, which is worthy of popularization and application.