外伤性胸腔脾种植一例报告及文献复习  

A report of one case of traumatic thoracic splenosis and literature review

作　　者：蒋雷[1] 陈晓峰[1] 王律[1] 周逸鸣[1] 谢搏雄[1] 高文[1] 姜格宁[1] 丁嘉安[1] 

机构地区：[1]上海市肺科医院胸外科,200433

出　　处：《中华创伤杂志》2005年第5期375-377,共3页Chinese Journal of Trauma

摘　　要：目的结合文献总结外伤性胸腔脾种植诊治经验。方法对文献报道27例和我院收治1例外伤性胸腔脾种植临床资料分析、总结。结果胸腔脾种植多数无明显症状。既往均有胸腹联合伤史,伴脾破裂。种植均发生在左侧胸腔,多种植在胸膜上。多数为多发性,红褐色,通常<3cm。结论有左胸腹部联合伤脾切除史,影像学检查左胸膜占位性病变,应考虑胸腔脾种植。Objective To summarize the experience in the diagnosis and treatment of traumatic thoracic splenosis in combination with literature review. Methods The data of 28 eases (27 cases were reported in foreign and domestic medical journals and one from our hospital) with traumatic thoracic splenosis were analyzed. Results Traumatic thoracic splenosis was usually asymptomatic. All patients had a history of combined abdominal and thoracic trauma and splenectomy. All thoracic splenosis was left-sided, commonly accompanied by abdominal splenosis, even by chest wall and subcutaneous splenosis. The nodules of thoracic splenosis usually appeared rufous, with size smaller than 3 cm. Conclusion Thoracic splenosis should be considered upon following cases that have a history of left thoracoabdominal trauma and splenectomy as well as left-sided and pleural-based nodule(s).

关 键 词：胸腔脾种植 外伤性 文献复习 临床资料分析 胸腹部联合伤 占位性病变 影像学检查 诊治经验 文献总结 文献报道 脾破裂 多发性 脾切除 

分 类 号：R641[医药卫生—外科学]