【摘要】 目的探讨脾囊肿的诊断和治疗方法。方法结合文献资料,对我院1986年5月至2005年3月9例脾囊肿病例的临床资料进行回顾性分析。结果全组脾囊肿患者均行手术治疗,行全脾切除4例,其中保留副脾1例,脾片网膜囊内移植2例;部分脾切除1例,半脾切除1例,腹腔镜脾囊肿开窗引流3例。本组均治愈。腹腔镜囊肿引流病例,随访2月～5年,未发现囊肿复发、积液、感染等并发症。结论脾囊肿临床表现无特异性,诊断主要依靠B超及CT检查;治疗以手术为主,可选择全脾切除、半脾或脾部分切除,腹腔镜囊肿引流。更多还原

【Abstract】 Objective To explore the method of diagnosis and treatment of splenic cyst. Methods From May 1986 to March 2005, the clinical data of 9 splenic cyst cases were retrospectively analyzed. Results All the 9 cases were treated with operation. 4 had total splenectomy, among which case with accessory spleen was reserved, 2 undergone splenic flake transplant; 1 had partial splenectomy, 1 had semi-splenectomy, 3 had laparoscopic fenestration and drainage for splenic cyst. All patients were cured. Those 3 cases undergoing fenestrate and drainage were followed up from 2 months to 5 years, and no recurrence and infection occurred. Conclusions The clinical performance of Splenic cyst has no specificity. The diagnosis mainly depends on B-ultrasound and CT. The operation mode selection is based on position, size and property of the cyst. And accordingly total splenectomy, semi-splenectomy or partial splenectomy, laparoscopic fenestration and drainage are selected.更多还原