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目的 探讨原发性脾脏良性肿瘤的诊断和治疗对策。方法 回顾性分析 2 7例原发性脾脏良性肿瘤的临床表现、影像学特点和疗效。 2 6例患者行B超检查 ,其中 2 3例行CT检查 ,2例行MRI检查。 2 4例作脾脏切除术。结果 原发性脾脏良性肿瘤临床表现无特异性 ,仅 16例有非特异性临床表现。影像学检查多表现为脾实质内单发或多发的实性或囊性结节 ,B超定位诊断率为 10 0 % ,CT、MRI对良性脾脏肿瘤的定性诊断率为 90 %以上 ,尤其适用于脾脏血管瘤和囊肿的诊断。脾脏切除术疗效好。结论 原发性脾脏良性肿瘤的诊断关键在于提高警惕 ,并选用合适的影像学检查以确诊。其治疗首选外科手术
Objective To investigate the diagnosis and treatment of primary spleen benign tumors. Methods The clinical manifestations, imaging features and therapeutic effects of 27 patients with primary splenic benign tumors were retrospectively analyzed. Twenty-six patients underwent B-mode ultrasound examination, of which 23 had CT scan and 2 had MRI scan. 24 cases of splenectomy. Results The clinical manifestations of benign primary spleen tumors were nonspecific, only 16 cases had nonspecific clinical manifestations. Imaging examination showed more splenic parenchyma or multiple solid or cystic nodules, B ultrasound localization diagnostic rate was 10%, CT, MRI qualitative diagnosis of benign spleen tumors was 90% or more, especially for Diagnosis of splenic hemangiomas and cysts. Splenectomy is effective. Conclusions The key to the diagnosis of benign primary splenic tumors is to be vigilant and select the appropriate imaging examination to confirm the diagnosis. The treatment of choice for surgery