脾占位性病变50例临床分析  

Clinical analysis of 50 patients with splenic space-occupying lesions

作　　者：杨新华[1] 马宏敏[1] 蔡志民[1] 

机构地区：[1]第三军医大学附属西南医院普外科,重庆400038

出　　处：《中华肝胆外科杂志》2001年第6期326-328,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　提高脾占位性病变的诊治水平。方法　回顾性分析 5 0例脾占位性病变的诊断及治疗 ,总结经验体会。结果　 5 0例脾占位性病变主要靠B超和CT发现 ,其中良性占 76 %(38/ 5 0 ) ,恶性占 2 4%(12 / 5 0 )。 31例行手术治疗 ,1例术后发生严重感染 ,余无手术并发症。良性病变疗效好 ,恶性肿瘤预后差。结论　影像检查是脾占位性病变的主要诊断手段 ,但对病变发现容易 ,定性 ,确诊难。脾脏炎症性病变以非手术治疗为主 ,对原发性脾肿瘤原则上一旦发现应积极手术。Objective To improve diagnosis and treatment of splenic space-occupying lesions. Methods A retrospective study on diagnosis and treatment of 50 cases of splenic space-occupying lesions was performed and the experience summarized. Results Splenic space-occupying lesions were found mainly by type B ultrasonogaraphy and CT. They were confirmed to be benign and malignant in 76% and 24% of the patients, respectively. Thirty-one patients received surgical treatments. Of these patients, 1 presented severe infection after operation and the others had no operative complications. The therapeutic effects of the operation were satisfactory in the patients with benign lesions. However, those patients with malignant lesions had an unfavorable prognosis. Conclusions Image examination is a major diagnostic means for splenic space-occupying lesions. It is easy for it to find the lesions but difficult to confirm the diagnosis. Most of splenic inflammatory diseases should be treated non-operatively. In principle, primary splenic tumor should be surgically treated as soon as it is found.

关 键 词：脾肿瘤 外科手术 临床诊治 脾占位性病变 

分 类 号：R657.6[医药卫生—外科学]