脾脏恶性肿瘤外科治疗13例报告

SURGICAL TREATMENT FOR 13 PATIENTS WITH SPLENIC MALIGNANT TUMOR

目的 总结脾脏恶性肿瘤诊治的经验。方法 回顾性分析 13例脾脏恶性肿瘤病理类型以及诊断和治疗方法选择。结果 术前 B超和 CT确诊率为 92 .3% (12 / 13)。术后病理类型 :恶性淋巴瘤和淋巴肉瘤 6例 ,血管肉瘤 3例 ,纤维肉瘤 2例 ,平滑肌肉瘤 1例 ,转移性肝细胞癌 1例。术后生存 5年以上 3例 ,均为早期病例。结论 影像检查是主要诊断手段 ,提高脾脏恶性肿瘤的早期诊断率是改善预后的关键。

Objective To summarize the experiences of diagnosis and treatment for splenic malignant tumors.Method A retrospective study was performed to study 13 cases with splenic malignancy treated by surgical means in our hospital .Rseults The preoperative confirmed diagnostic rate by B-US and CT was 92.3%.Three cases of them survived more than 5 years,and their disease was in early stages.Conclusions Image examination is a main manner of the diagnosis of splenic malignant tumors.Incipient diagnosis and treatment were important to improve the prognosis.