摘要
目的 加强对脾脏占位性病变的鉴别诊断和治疗。方法 回顾性分析 1983～ 1999年间 ,我院收治的脾脏占位性病变 40例的临床资料。结果 40例中脾脏良性病变 2 6例 ,其中脾结核7例、脾真性囊肿 6例、脾脓肿 3例、脾血管淋巴管瘤 4例、脾动脉瘤 3例、脾淋巴管瘤、脾表皮样囊肿和脾错构瘤各 1例。脾脏恶性肿瘤 14例 ,其中脾脏原发非何杰金氏淋巴瘤和平滑肌肉瘤各 2例、血管肉瘤 1例。肝细胞转移癌 3例、卵巢癌脾脏转移 2例、胃癌、胰腺癌、绒毛膜上皮癌和右肾癌脾脏转移各 1例。结论 应根据脾脏占位病变的临床表现和影像学特征 ,对不同性质的病变采用相应的治疗方法。
Objective [WT5”BZ]To improve recognition and differential diagnosis of splenic space occupying disease.[WT5”HZ]Method [WT5”BZ]40 cases admitted from 1983 to 1999 were analyzed retrospectively。[WT5”HZ]Result [WT5”BZ]Twenty six out of 40 cases were of benign splenic disease including one case of cyst, 3 cases of splenic abscesses, 7 cases of splenic tuberculosis, 5 cases of splenic “true” cyst, 4 cases of splenic angiolymphoma, 3 cases of splenic aneurysm, and one each of splenic lymphoangioma, epidermoid cyst and hamartoma. There were 14 cases of malignant tumor, amongwhich,there were two cases of non Hodgkin′s lymphoma and two of leiosarcoma,one angiosarcoma and metastatic splenic malignant tumor in 9 cases.[WT5”HZ]Conclusion [WT5”BZ]Therapeutics should be adopted according the nature of splenic diseases, based on clinical and image characteristics.
出处
《中华普通外科杂志》
CSCD
2000年第11期669-670,共2页
Chinese Journal of General Surgery
关键词
脾脏
外科手术
肿瘤
Spleen
Surgical procedures operative
Neopla
