小儿脾脏占位性病变的诊治

Surgical diagnosis and treatment of splenic space occupying lesions in children

目的 总结小儿脾脏占位性病变的临床特点。方法 复习 6例脾脏占位性病变患儿的临床资料及有关文献 ,分析其年龄特点、临床特征和诊治要点。结果 6例小儿脾脏占位性病变 ,其中良性肿瘤和囊肿各占一半 ,分别以血管瘤和真性囊肿为多发。平均年龄 11岁 ,以男性儿童多见。患儿均手术治疗 ,其中脾脏切除术 5例、脾脏部分切除术 1例。术后恢复顺利。结论 影像学检查是诊断小儿脾脏占位性病变的主要手段 ,对不同类型的占位性病变需采用相应的治疗方法。

Objective To summarize the clinical features of splenic space occupying lesions in children. Methods The clinical data of 6 cases of splenic space occupying lesions were reviewed. Their clinical manifestations, age, diagnosis and treatment were analyzed. Results Three out of 6 cases were benign, and the others were cysts. The most common type of benign tumors was hemangioma, and most of the cysts were true cysts. The ages of the patients ranged from 9 to 12 years with a mean of 11 yrs. Five out of the 6 patients were treated with splenectomy, and the other underwent partial splenectomy. All patients recovered after operation. Conclusions The diagnosis of the splenic space occupying lesions mainly depends on the imaging examination. Therapy should be adopted according the type of lesions in the spleen.