脾血管瘤的诊断及治疗进展  

The Progress in diagnosis and treatment of splenic hemangioma

作　　者：齐峰[1] 戴朝六[1] Qi Feng;Dai Chaoliu(Department of Hepatobiliary And Splenic Surgery,Shengjing Hospital of China Medical University,Liaoning,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院肝胆脾外科,沈阳110004

出　　处：《中华普外科手术学杂志（电子版）》2021年第1期114-116,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：辽宁省重点研发计划指导计划(2017225032)。

摘　　要：脾血管瘤是脾肿瘤中最常见的病理类型,其诊断主要依赖影像学检查,随着仪器的进步,脾血管瘤的检出率日益提升,但其诊断精度仍有待提升,增强MR、超声造影、病理活检等检查手段在病灶鉴别方面具有优势。脾血管瘤的手术指征和治疗手段一直存在争议,既往只有开腹脾切除术一种治疗方式。近年来“保脾”、“微创”的理念逐渐成为主流,并出现了脾部分切除术、脾血管瘤消融术等新的治疗手段,但不同手段的选择尚未形成统一的标准,现就脾血管瘤的诊断和治疗进展予以综述。Splenic hemangioma is the most common pathological type of splenic tumor.Its diagnosis mainly depends on imaging examination.With the development of instruments,the positive rate of splenic hemangioma is increasing,however the accurate rate of diagnosis still needs to be improved.There are some inspection means that have advantages in the differential diagnosis of lesions,such as Enhanced MRI,contrast-enhanced ultrasound,pathological biopsy and so on.The indications and surgical treatment of splenic hemangioma have always been controversial.There was only open splenectomy in the past.In recent years,the concept of"protecting the spleen"and"minimally invasive"has gradually become the mainstream,and some new therapeutic treatments such as partial splenectomy and splenic hemangioma ablation have emerged,but the selection of different methods has not yet formed a unified standard.The current diagnosis and treatment progress of splenic hemangioma has been reviewed in this paper.

关 键 词：血管瘤 脾 诊断 治疗 

分 类 号：R73[医药卫生—肿瘤]