脾肿瘤的临床特点及预后分析  

Clinical characteristics and prognosis of splenic tumor

作　　者：朱文祥 吴向华[1] 覃雅 ZHU Wenxiang;WU Xianghua;QIN Ya(Division I,Department of Gastrointestine and Gland Surgery,the First Affiliated Hospital of Guangxi Medical Uni-versity,Guangxi Zhuang Autonomous Region,Nanning 530000,China;Department of General Surgery,People＇s Hospital of Hechi City,Guangxi Zhuang Autonomous Region,Hechi 547000,China)

机构地区：[1]广西医科大学第一附属医院胃肠腺体外科一病区,广西南宁530000 [2]广西壮族自治区河池市人民医院普通外科,广西河池547000

出　　处：《中国医药导报》2018年第26期96-99,共4页China Medical Herald

摘　　要：目的探讨脾肿瘤的临床特点及预后。方法回顾性分析广西医科大学第一附属医院2003年1月~2017年6月脾肿瘤患者64例的临床资料并随访,对脾肿瘤临床特点、诊断、治疗、预后进行分析。结果脾肿瘤患者共64例,其中良性脾肿瘤53例,恶性脾肿瘤11例。恶性中包括原发性恶性脾肿瘤8例、转移性脾肿瘤3例。良性脾肿瘤行脾切除术,恶性脾肿瘤行手术加辅助放化疗。良性脾肿瘤随访者35例,33例生存良好。原发性恶性脾肿瘤随访4例,最长2017年12月已存活7年,治疗方式为脾切除加辅助化疗。转移性脾恶性肿瘤随访1例,术后存活2年。结论脾肿瘤发病率较低,病理类型多样,B超、CT是重要的影像学检查手段。治疗以手术为主,良性脾肿瘤预后可,恶性预后不佳。早期诊断、根治手术及辅助化疗的综合治疗是改善原发性脾脏恶性肿瘤预后的重要手段。Objective To analyse the clinical characteristics and prognosis of splenic tumor. Methods From January 2003 to June 2017, in the First Affiliated Hospital of Guangxi Medical University, the clinical data of 64 patients diagnosed splenic tumor were etrospectively analyzed and followed-up, the clinical characteristics, diagnose, therapy and prognosis were analyzed. Results Among 64 splenic tumors cases, 53 cases were benign tumors and 11 cases were malignant tumors. Malignant tumors contained 8 primary splenictumors cases and 3 metastatic splenic tumors cases. The benign tumors were given splenectomy, and malignant tumors were given splenectomy combined with adjuvant radiotherapy and chemotherapy. Thirty-five cases benign tumors were followed up, 33 cases had a good recovery. Four cases with primary malignant tumors were followed up, the longest follow-up case treated with splenectomy and chemotherapy had been alive 7 years until December 2017. One case with splenic metastatic tumors were followed up, the patient had been alive 2 years afler surgery. Conclusion The splenic tumor has a low incidence, pathology is complex, CT and B- mode ultrasound are important imaging measures to diagnose splenic tumor. The benign splenic tumors have a better prognosis, but malignant ones have a poor prognosis. The main treatment for splenic tumor is surgery. Earlier diagnosed, radical operation and chemotherapy are important measures for primary splenic malignant tumors.

关 键 词：脾肿瘤 临床特点 外科治疗 预后 

分 类 号：R733.2[医药卫生—肿瘤]