脾脏占位性病变的诊断和治疗

Diagnosis and treatment of splenic space occupying disease

目的 提高脾脏占位性病变的诊疗水平。方法 回顾性分析36例脾脏占位性病变的临床资料。28例行脾切除术,4例行脾切除+原发病灶切除,4例未手术治疗。结果 32例经手术及病理确诊,良性病变24例,均痊愈。脾脏恶性肿瘤12例,预后差。结论 影像学检查是脾占位性病变的主要诊断手段,脾切除是主要的治疗方法。

To improve diagnosis and treatment of splenic space occupying disease. Methods Thirty-six cases were analyzed retrospectively. Splenic space occupying disease was found mainly by type B ultraonogaraphy and CT. Splenectomy were performed by 28 cases. Dissection of the original neoplasm plus splenectomy in 4 cases of splenic metastasis. Others were no operation. Results Thirty-two cases were confirmed the diagnosis by operations and histological examination. Twentyfour cases were benign splenic disease and were recovered. There were 12 cases of metastasis splenic malignant tumor died in one year. Conclusions Image examination is a major diagnostic means for splenic space occupying disease. Splenectomy should be the best choice.