脾囊肿的诊断和治疗(附9例报告)

Diagnosis and treatment of splenic cyst (report of 9 cases)

目的探讨脾囊肿的诊断和治疗方法。方法结合文献资料,对我院1986年5月至2005年3月9例脾囊肿病例的临床资料进行回顾性分析。结果全组脾囊肿患者均行手术治疗,行全脾切除4例,其中保留副脾1例,脾片网膜囊内移植2例;部分脾切除1例,半脾切除1例,腹腔镜脾囊肿开窗引流3例。本组均治愈。腹腔镜囊肿引流病例,随访2月～5年,未发现囊肿复发、积液、感染等并发症。结论脾囊肿临床表现无特异性,诊断主要依靠B超及CT检查;治疗以手术为主,可选择全脾切除、半脾或脾部分切除,腹腔镜囊肿引流。

Objective To explore the method of diagnosis and treatment of splenic cysL Methods From May 1986 to March 2005, the clinical data of 9 splenic cyst eases were retrospectively analyzed. Results All the 9 cases were treated with operation. 4 had total splenectomy, among which case with accessory spleen was reserved, 2 undergone splenic flake transplant; 1 had partial splenectomy, 1 had semi-splenectomy, 3 had laparoscopic fenestration and drainage for splenic cyst. All patients were cured. Those 3 eases undergoing fenestrate and drainage were followed up from 2 months to 5 years, and no recurrence and infection occurred. Condusions The clinical performance of Splenic cyst has no specificity. The diagnosis mainly depends on B-ultrasound and CT. The operation mode selection is based on position, size and property of the cyst. And accordingly total splenectomy, semisplenectomy or partial splenectomy, laparoscopic fenestration and drainage are selected.