Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector26110.18821/1560-9510-2021-25-1-29-36ReviewsОБЗОРЫHistory and modern trends in the treatment of spleen injuries in childrenИстория и современные тенденции в лечении травмы селезёнки у детейhttps://orcid.org/0000-0003-1746-8446GorelikA. L.ГореликА. Л.
Russian Federation

Alexander L. Gorelik, MD, department of polytrauma

Moscow, 119180, Russian Federation

Горелик Александр Львович, научный сотрудник отделения сочетанной травмы

119180, Москва, Россия

Dr.A.Gorelik@gmail.comhttps://orcid.org/0000-0001-9418-4418KarasevaO. V.КарасеваО. В.
Russian Federation

Moscow, 119180, Russian Federation

Moscow, 119991, Russian Federation

119180, Москва, Россия

119991, Москва, Россия

https://orcid.org/0000-0003-3639-9394UtkinaK. E.УткинаК. Е.
Russian Federation

Moscow, 119180, Russian Federation

119180, Москва, Россия

Clinical and Research Institute of Emergency Pediatric Surgery and TraumaГБУЗ города Москвы «Научно-исследовательский институт неотложной детской хирургии и травматологии» Департамента здравоохранения города МосквыNational Medical Research Center for Children’s HealthФГАУ «Национальный медицинский исследовательский центр здоровья детей» Министерства здравоохранения Российской Федерации0204202125129360204202102042021https://jps-nmp.ru/jour/article/view/261

Introduction. Over the past 50 years, the concept of treating spleen injuries has undergone significant changes from no alternative to splenectomy to conservative treatment, and this concept is still being actively discussed. The present review shows evolution of views and approaches to the diagnostics and treatment of spleen injuries in children.

Material and methods. The literature search was done using keywords in eLIBRARY, MEDLINE and GOOGLESCHOLAR. 65 sources have been selected.

Results. The modern concept of spleen injury care has been formed under constantly improving techniques of non-invasive imaging of injuries (ultrasound, computed tomography), under constantly developing endoscopic and endovascular surgical techniques. Currently, conservative treatment of spleen injuries is close to 90-95%.

Conclusion. The evolution of views as to the treatment of spleen injuries in children is demonstrating fundamental changes which take place in traditional surgical practice as well as in medical technologies.

Введение. За последние 50 лет концепция лечения травмы селезёнки претерпела значительные изменения от безальтернативной спленэктомии до консервативного лечения и продолжает активно обсуждаться. В обзоре представлена эволюция взглядов и современные подходы к диагностике и лечению травмы селезёнки у детей.

Материал и методы. Поиск литературы проводили по ключевым словам через eLIBRARY, MEDLINE и GOOGLESCHOLAR. Отобраны 65 источников.

Pезультаты. Формирование современной концепции лечения травмы селезёнки происходило по мере появления и совершенствования методов неинвазивной визуализации повреждений (ультразвуковое исследование, компьютерная томография), развития эндоскопической и эндоваскулярной хирургии. Консервативное лечение травмы селезёнки на современном этапе составляет 90–95%.

Заключение. Эволюция взглядов на лечение травмы селезёнки у детей демонстрирует кардинальное изменение традиционной хирургической практики на фоне развития медицинских технологий.

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