摘要
目的:探讨非寄生虫性脾囊肿的诊断与治疗方法,从而为制定最佳处理策略提供依据。方法:回顾性分析10例脾囊肿的临床资料。结果:3例行开腹全脾切除术,1例行保留副脾的脾切除术,2例行腹腔镜下脾囊肿去顶术(1例1年后复发较小囊肿),1例行腹腔镜下全脾切除术。3例非手术治疗,其中1例多发小囊肿伴感染,予抗炎保守治疗好转,另2例行囊肿穿刺抽吸无水酒精注射治疗,术后1年均复发,予相应治疗后好转。10例患者均治愈或好转。腹腔镜手术的患者术后恢复明显快于开腹手术的患者。结论:对非寄生虫性脾囊肿,保脾手术是理想的选择,原发性囊肿或复发性囊肿尽量选择腹腔镜下脾部分切除术,继发性囊肿行腹腔镜下去顶术。
Objective Investigate the non - parasitic splenic cyst diagnosis and treatment methods, so as to provide the basis to develop the best treatment strategy, nethodsA retrospective analysis of 10 cases of splenic cyst with clinical data. Results： Three cases with a total laparosplenectomy, one case with vice spleen -saving splenectomy, two cases with cyst laparoscopic decapsulation （but one case relapsed with a small cyst after one year）, one case with a total laparoscopic splenectomy. Three cases of non - surgical treat- ment, included one case of multiple small cysts with infection was improved by antiinflammatory conservative treatment, and the other two cases, respectively, were treated by percutaneous suction and anhydrous alcohol injection with the B ultrasound or CT guiding. Both patients relapsed one year later, one had a recurrence of a small cyst with no further treatment. The other had a laparoscopic par- tial splenectomy after finding its recurrence of a diameter of 6cm cyst 18 months later. The median duration of postoperative follow- up were 52. 2 months. All the patients of this group were cured or improved. The laparoscopic surgery patients recovered faster than those laparotomy patients. Conclusion When the non - parasitic splenic cyst need to be treated, spleen - conserving surgery is an ideal choice. In patients with suspected primary splenic cysts or recurrent cysts, laparoscopic partial splenectomy can be performed. For patients with suspected secondary cysts, laparoscopic decapsulation is proposed.
出处
《中国民族民间医药》
2013年第23期165-166,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
脾囊肿
脾部分切除术
囊肿去顶术
spleen
cyst
Laparoscopic
partial splenectomy
cyst decapsulation
