39例脾脏占位性病变的临床诊断和治疗分析  

Diagnostic and Therapeutic Analysis of 39 Cases of Space-occupying Lesion of the Spleen

作　　者：唐继红[1] 傅必莽[1] 董丽英[1] 唐波[1] 朱洪[1] 刘亚飞[1] 

机构地区：[1]昆明医学院第二附属医院,昆明650101

出　　处：《大理学院学报（综合版）》2010年第12期61-63,共3页Journal of Dali University

摘　　要：目的:探讨脾占位性病变的临床诊断特点和治疗对策。方法:回顾性分析1990年至2010年收住我院的39例脾占位性病变患者的临床资料,总结更佳的治疗策略。结果:21例患者无症状,脾占位性病变临床表现无特异性,诊断依据影像学检查如B超、CT、MRI、数字减影血管造影(DSA)和病理检查。39例脾占位性病变中良性35例,其中手术切除脾脏23例,非手术治疗16例,包括恶性4例。随访5月～5年,手术与否,良性疾病均获得长期生存,而恶性者诊断后4月内死亡率100%。结论:脾占位性病变以良性为主,恶性少见,影像学检查是发现脾占位性病变的主要手段。根治性切除是治疗恶性占位性病变的唯一手段,而脾切除对成年人可能是最佳的治疗方案,但脾部分切除更适宜儿童患者。Objective：To analyze the diagnostic features and therapies of space-occupying lesion of the spleen.Methods：Retrospective analysis on 39 cases with space-occupying lesion of the spleen from 1999 to 2010 in The Second Affiliated Hospital of Kunming Medical College was carried out.Results：There were asymptomatic and no specific in clinical manifestation in 21 cases,which were diagnosed using radiology of type-B ultrasonic,CT,MRI,digital subtraction angiography and pathological examine.There were 35 cases of benign lesion in 39 cases.Twenty-three cases were performed surgical ablation,16 cases including 4 cases of malignant lesion were treated of non-surgery as palliative therapy.After 5 years follow up,cases with benign lesion were long term survived,comparing with the cases of malignant lesion which mortality were 100% in 4 months after final diagnosis.Conclusion：Space-occupying lesion of the spleen was mainly composed of benign lesion and was few malignant lesion.Radiology examine is the chief method to diagnosis.Radical excision was the only therapy of malignant lesion.Splenectomy could be the optimal therapy in adult patients,while,partial resection was applied in child.

关 键 词：脾占位性病变 诊断 分析 

分 类 号：R657.6[医药卫生—外科学]