中国普通外科杂志2012，Vol.21Issue(9)：1107-1109,3.
脾脏占位性病变的诊断和治疗:附22例报告
Diagnosis and management of space-occupying lesions of the spleen: a report of 22 cases
周党军 1晁延军 1蒋安 2安东均1
作者信息
- 1. 陕西省咸阳市中心医院肝胆外科,陕西咸阳712000
- 2. 西安交通大学医学院第二附属医院普通外科,陕西西安710004
- 折叠
摘要
Abstract
Objective: To investigate the diagnosis and treatment of the space-occupying lesions of the spleen.
Methods: The clinical data of 22 patients, who had space-occupying lesions of the spleen, admitted from
January 1992 to December 2009 were retrospectively analyzed.
Results: Of the entire group, 18 cases were benign space-occupying lesions that included 4 cases of splenic cyst,
11 cases of splenic hemangioma, and 3 cases of splenic abscess; 4 cases were malignant space-occupying lesions
that included 2 cases of malignant lymphoma, and one case each of splenic metastasis from pancreatic cancer
and metastases in the liver and splenic following surgery for stomach cancer. Twenty-six patients underwent total
splenectomy and 2 patients underwent partial splenectomy. Of the 2 malignant lymphoma and 2 splenic metastasis
patients, one case was lost to follow-up, and the other 3 cases died one year, 2 years and 2.5 years after operation,
respectively. All the benign patients were cured.
Conclusion: The diagnosis of space-occupying lesions in the spleen is mainly based on clinical manifestation
and imageological examination. Differentiation of benignancy or malignancy of the lesions depends on contrast-enhanced ultrasonography, CT or selective splenic artery angiography. For these patients, surgical treatment is the major therapeutic alternative, while adjuvant radiotherapy and chemotherapy is required for the malignant cases.
关键词
脾肿瘤/外科学/脾肿瘤/诊断Key words
Splenic Neoplasm/surg/ Splenic Neoplasm/diag分类
医药卫生引用本文复制引用
周党军,晁延军,蒋安,安东均..脾脏占位性病变的诊断和治疗:附22例报告[J].中国普通外科杂志,2012,21(9):1107-1109,3.
