15例胃内异位脾的临床特征分析  

Clinical characteristics of 15 cases of gastric ectopic spleen

作　　者：王苏皖 钟碧波[2] 许艳东[2] 官瑜[2] 戴一菲[3] 邓全成[4] 袁岸龙[2] WANG Suwan;ZHONG Bibo;XU Yandong;GUAN Yu;DAI Yifei;DENG Quancheng;YUAN Anong(Jinzhou Medical University,Jinzhou,Liaoning 121000,China;Department of Gastroenterology,Xiaogan Central Hospital,Xiaogan,Hubei 432000,China;Department of Pathology,Xiaogan Central Hospital,Xiaogan,Hubei 432000,China;CT Room,Xiaogan Central Hospital,Xiaogan,Hubei 432000,China)

机构地区：[1]锦州医科大学,辽宁锦州121000 [2]孝感市中心医院消化内科,湖北孝感432000 [3]孝感市中心医院病理科,湖北孝感432000 [4]孝感市中心医院CT室,湖北孝感432000

出　　处：《中国医学工程》2023年第11期90-93,共4页China Medical Engineering

摘　　要：目的总结归纳国内外胃内异位脾患者的临床特点,为临床诊治提供参考。方法结合孝感市中心医院2021年8月收治的1位异位脾患者,并以“胃”、“脾”、“异位”和“异位脾”为关键词检索万方数据库和中国知网数据库(CNKI)相关文献,以“stomach”、“gastric”、“spleen”、“ectopic spleen”和“splenosis”为关键词检索Medline、Pubmed和Elsevier ScienceDirect电子期刊数据库,并对病例的性别、年龄、既往史、就诊原因、内镜特点、确诊方式进行总结与分析。结果共检索到中文文献9篇,英文文献43篇,其中13篇有经病理确诊的胃内异位脾患者的详细临床资料。13篇文献共计报道14例患者,结合本文报道1例,共发现15例胃内异位脾患者。其中男9例,女6例,男∶女=1.5∶1.0。患者年龄分布为26~68岁。15例患者均有因脾破裂而行脾切除术史。14例患者异位脾病灶位于胃底,1例位于胃体,术前均被诊断为胃黏膜下肿瘤。5例经内镜切除或内镜穿刺活检后病理确诊;10例经外科手术切除后病理确诊。结论胃内异位脾是一种罕见疾病,患者没有特异性症状,但均有脾切除手术史,易被误诊为胃底黏膜下肿瘤,多行手术切除后组织学确诊。【Objective】To summarize the clinical characteristics of patients with gastric ectopic spleen at home and abroad,and to provide reference for clinical diagnosis and treatment.【Methods】Based on a patient with ectopic spleen admitted to Xiaogan Central Hospital in August 2021,literature related to Wanfang database and China National Knowledge Network Database(CNKI)were searched using"stomach","spleen","ectopic"and"ectopic spleen"as keywords.Search Medline,Pubmed and Elsevier ScienceDirect e-journal databases with"stomach","gastric","spleen","ectopic spleen"and"splenosis"as keywords.The gender,age,past history,reasons for medical treatment,endoscopic characteristics and diagnosis methods of the cases were summarized and analyzed.【Results】A total of 9 literatures in Chinese and 43 literatures in English were retrieved,13 of which had detailed clinical data of patients with gastric ectopic spleen diagnosed by pathology.A total of 14 patients were reported in 13 literatures,and 1 case was reported in this paper.A total of 15 patients with gastric ectopic spleen were found.There were 9 males and 6 females,male:female=1.5:1.Patients ranged in age from 26 to 68 years old.All the 15 patients had a history of splenectomy due to spleen rupture.Fourteen patients had ectopic spleen lesions located in the fundus of the stomach and one in the body of the stomach,all of which were diagnosed as gastric submucosal tumors before surgery.Five cases were confirmed pathologically after endoscopic resection or endoscopic puncture biopsy.Ten cases were confirmed by pathology after surgical resection.【Conclusion】Gastric ectopic spleen is a rare disease.The patients have no specific symptoms,but all have a history of splenectomy.It is easy to be misdiagnosed as gastric fundus submucosal tumor,which is mostly confirmed by histology after surgical resection.

关 键 词：异位脾 胃 临床特征 

分 类 号：R656.61[医药卫生—外科学]