脾脏肿瘤的诊断与治疗

Diagnosis and treatment of the splenic tumor

目的探讨脾脏肿瘤的诊断与治疗。方法收集和整理65例脾脏肿瘤的临床资料,对就诊原因、影像学检查、手术治疗所见及病理检查结果进行回顾性分析。结果65例脾脏肿瘤中包括囊肿26例、良性肿瘤14例、恶性肿瘤25例,全部接受手术治疗,无手术死亡病例。各种影像学检查对绝大多数病人可给予术前确诊。结论脾脏肿瘤的诊断主要依据左上腹痛、脾脏肿大等临床表现。影像学检查是发现肿瘤和确诊的重要方法,脾脏切除术是主要的治疗手段。

Objective To discuss the diagnosis and treatment of Splenic tumor. Methods The clinical data of 65 cases with Splenic tumor were collected and retr ospectively analyzed. Results 65 cases of splenic tumor included cyst 26 cases, benign 14 cases, malignancy 25 cases. All patients were cured by splenectomy.The re were no operative death and postoperative severe complications. multiple imag ing examination could make a definite diagnosis to the most patients before oper ation.Conclusion According to the abdominal pain of upper left quadrant and sple nomegaly,the diagnosis of splenic tumor can be established.Imaging examinations are an important method for finding and comfirming the splenic tumors.Splenectom y is a major therapeutic measure.