摘要
目的总结我国非寄生虫性脾囊肿(NPSC)的诊治经验。方法报告3例及网上搜索1973～2008年间发表的NPSC文献249篇,对临床和病理资料回顾性研究。结果①NPSC占脾脏良性肿瘤的33.9%,真性囊肿占59.8%;②左上腹胀痛及肿块占46.6%及50.0%;③B超或CT诊断阳性率分别为90.5%和93.4%;④开腹全脾切除占74.2%;⑤儿童全脾切除未加自体脾片移植暴发性感染占6.3%。结论NPSC较多见,真性囊肿多于假性囊肿,左上腹胀痛及肿块为主要临床表现,影像学检查阳性率高。成人开腹全脾切除仍是主要手术方式,儿童尽可能采用全脾切除加自体脾片移植或脾部份切除。
Objective To summarize the diagnosis and treatment of non-parasitic splenic cyst（NPSC ） in China. Methods The retrospective analysis was made of 3cases report and 249 published articles of NPSC between 1973 and 2008 in the domestic network. Results ①NPSC accounted for 33.7% of spleen benign tumors, and true cyst accounted for 59.8%. ②Epiabdominal pain and mass accounted for 46.6% and 50.0%. ③The B-Ultrasound and CT positive rates were 90.5% and 93.4%. ④The whole splenectomy accounted for 74.2%. ⑤Outbreak infection caused by whole splenectomy without autogenous spleen graft in children accounted for 6.3%. Conclusion NPSCs are common and true cysts are more than false ones,with epiabdominal pain and mass as their main cinical manifestations. The imaging examination shows higher positive rate. The whole splenectomy is the main selection of surgical approach in adult and the whole splenectomy with autogenous spleen graft or partial resection of the spleen is the main selection of surgical approach in children as far as possible.
出处
《中国现代医生》
2009年第36期26-28,共3页
China Modern Doctor
关键词
脾囊肿
非寄生虫性
病例报告
文献分析
Spleen cyst
Non-parasitic splenic cyst
Case report
Literature analysis
