脾脏肿瘤的诊断及治疗

Diagnosis and treatment of spleen tumor

摘要: 目的　探讨脾脏肿瘤的诊断及治疗方法。方法　回顾分析我院 1978年 7月至 1999年 6月手术切除的 2 5例脾脏肿瘤的临床资料。结果　脾脏肿瘤男女发病率相似, 临床表现以左上腹不适、疼痛及左季肋部肿物多见, 辅助检查B超诊断率为 6 8%, CT诊断率为 10 0 %, 良性肿瘤以脾囊肿最常见, 恶性肿瘤以脾淋巴瘤最常见, 良性肿瘤的治疗采用脾切除术或脾部分切除术, 恶性肿瘤行脾切除或联合脏器切除辅以化疗。结论　脾脏肿瘤术前诊断依据CT、B超联合检查, 最后确诊需手术切除及病理诊断, 脾脏肿瘤无论良恶性均需手术治疗

Abstract: Objective To evaluate the diagnosis and treatment of spleen tumor. Methods 25 cases were analyzed retrospectively, who were operated from Jul. 1978 to Jun. 1999 in our hospital because of spleen tumor. Results The incidence of spleen tumor in males was similar to female. And the complains were always the discomfort, pain and tumor in left hypochondrium. The diagnosis rate of B ultrasonic was 68%, and that of CT was 100%. Most of benign spleen tumor was cyst, and most of malignant tumor was lymphoma. The tr...