脾脏血管瘤病人403例回顾性分析  

HEMANGIOMA OF THE SPLEEN:A RETROSPECTIVE ANALYSIS OF 403 CASES

作　　者：李福鹏[1,2] 邱法波[1] 

机构地区：[1]青岛大学附属医院肝胆外科,山东青岛266003 [2]高密市中医院普外科

出　　处：《齐鲁医学杂志》2015年第5期532-534,共3页Medical Journal of Qilu

摘　　要：目的探讨脾脏血管瘤的临床特点、诊断方法及治疗经验。方法以"脾脏血管瘤、脾肿瘤"为关键词,联合检索中国知网、万方数据、维普网、中国生物医学文献数据库等多家中文数据库有关脾脏血管瘤的文章。对脾脏血管瘤发病的性别差异、诊断方法、治疗方式、病理类型等进行分析。结果共检索到52篇论文403例脾脏血管瘤病人,最小年龄6岁,最大年龄85岁,平均44.69岁;男女比例1.12∶1。多数病人就诊时无自觉症状,多因健康查体或因患其他疾病辅助检查时偶然发现。治疗以手术治疗为主,预后好,无恶变及死亡病例报道。结论脾脏血管瘤确诊依靠病理,术前检查首选彩超、CT,对于较小的脾脏血管瘤可观察随访,对于巨大或有症状的血管瘤行脾脏切除或部分切除术。Objective To study the clinical characteristics,diagnosis and treatment of hemangioma of the spleen.Methods Taking＂hemangioma of the pleen,splenic neoplasms＂as key words,to search literature regarding hemangioma of the pleen from multiple Chinese database of China National Knowledge Infrastructure（CNKI）,Wanfang Data,VIP network,China biomedical literature database and other Chinese database.The gender differences in the pathogenesis of hemangioma of the spleen,its diagnostic methods,treatment,and pathology were analyzed. Results A total of 52 papers including 403 cases of hemangioma of the spleen reported.Of the reports,the youngest was 6years old,the oldest 85,average being 44.69;the male to female ratio was 1.12∶1.Most of them with no subjective symptoms when doctor＇s office visiting,the condition was found by chance because of physical examination or because of undergoing examinations for other diseases.Surgical therapy was the first choice.The prognosis was good.No canceration or death was reported. Conclusion The diagnosis of hemangioma of the spleen depends on pathology.Ultrasonography and CT are the first choice for the disease.For a minor hemangioma,a follow-up and observation can be conducted,for a big one or that with symptoms,splenectomy or partial resection is indicated.

关 键 词：脾肿瘤 血管瘤 诊断 治疗 回顾性分析 

分 类 号：R733.2[医药卫生—肿瘤]