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目的 探讨脾脏肿瘤的诊断及治疗。方法 回顾性分析 1990年 1月至 2 0 0 3年 12月收治的 45例脾脏肿瘤病例的临床资料。结果 45例中良性 3 0例 ,恶性 15例 ,术前确诊率 95 .6%(4 3 / 45 )。 45例均行手术切除 ,无手术死亡 ,良性肿瘤预后良好 ,恶性肿瘤预后较差。结论 B型超声、CT等影像学检查是脾脏肿瘤的主要诊断方法 ,治疗以脾脏切除为主并根据不同性质的病变采取相应的治疗方法。
Objective To investigate the diagnosis and treatment of splenic tumors. Methods The clinical data of 45 cases of splenic tumors admitted from January 1990 to December 2003 were retrospectively analyzed. Results Among the 45 cases, 30 were benign and 15 were malignant. The preoperative diagnosis rate was 95.6% (43/45). Forty-five cases underwent surgical resection without any operative death. The prognosis of benign tumors was good, and the prognosis of malignant tumors was poor. Conclusions B-mode ultrasonography, CT and other imaging tests are the main diagnostic methods for splenic tumors. The treatment is mainly splenectomy and the corresponding treatment is taken according to the different types of lesions.