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目的 :总结原发性脾脏肿瘤的诊治经验。方法 :回顾分析了 18例原发性脾脏肿瘤病人的临床表现、影像学检查特点及外科治疗方法。结果 :脾脏原发性肿瘤临床表现无特异性 ,影像学检查能早期发现病变。B超、CT、MRI、DSA术前定性诊断正确率分别为 :38.9% (7/ 18)、6 9.2 % (9/ 13)、6 6 .7% (4 / 6 )、75 % (3/ 4 )。良性肿瘤行脾切除术及脾段切除术疗效佳。恶性肿瘤 7例中术后 1年内死亡 5例 ,2例已分别存活 4年、5年 ,均为早期病例。结论 :影像学检查是原发性脾脏肿瘤诊断及鉴别的主要手段。脾切除是治疗本病的主要手段。部分脾良性肿瘤可行保脾手术。恶性肿瘤的早期诊断和治疗是改善预后的关键。
Objective: To summarize the diagnosis and treatment of primary spleen tumors. Methods: The clinical manifestations, imaging features and surgical treatment of 18 patients with primary spleen tumor were retrospectively analyzed. Results: The clinical manifestations of spleen primary tumor were nonspecific. Imaging examination could detect lesions early. The diagnostic accuracy of preoperative ultrasound, CT, MRI and DSA were 38.9% (7/18), 62.2% (9/13), 66.7% (4/6), 75% (3 / 4). Benign tumor splenectomy and splenectomy is effective. Among the 7 cases of malignant tumors, 5 cases died within 1 year after operation and 2 cases had survived for 4 years and 5 years respectively, all of which were early cases. Conclusion: Imaging examination is the primary means of diagnosis and differentiation of primary spleen tumors. Splenectomy is the treatment of this disease the main means. Some splenic benign tumors feasible spleen surgery. Early diagnosis and treatment of malignant tumors is the key to improving the prognosis.