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目的:探讨脾脏原发性肿瘤的诊断与治疗方法。方法:回顾性分析我院收治的31例原发性脾脏肿瘤病例。结果:31例中有28例术前诊为脾脏肿瘤。18例良性肿瘤中14例行脾切除,4例行肿瘤切除或脾部分切除;13例恶性肿瘤中12例行脾切除术,1例广泛转移未手术。恶性肿瘤患者生存5年以上2例,生存3年以上3例,生存2年以上1例,小于1年6例,一例未手术在两个月内死亡:综合治疗患者5年生存率明显长于非综合治疗患者(P<0.05)。结论:B超、CT等影像字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 primary spleen tumors. Methods: A retrospective analysis of 31 cases of primary spleen tumors admitted to our hospital. Results: Twenty-eight of the 31 patients had preoperative diagnosis of splenic tumors. Spleen resection was performed in 14 cases of 18 benign tumors, resection of the tumors in 4 cases, and splenectomy in 12 cases. Twelve of 13 malignant tumors underwent splenectomy and 1 case of extensive metastasis without surgery. Malignant cancer patients survived for more than 5 years in 2 cases, survived for 3 years in 3 cases, survived for more than 2 years in 1 case, less than 1 year in 6 cases, and one case died within 2 months without surgery: 5-year overall survival was significantly longer than non-surgical patients Comprehensive treatment of patients (P <0.05). Conclusion: B-scan, CT and other image word examination is the main diagnosis of spleen tumors. The treatment is mainly of splenectomy and the corresponding treatment is taken according to the different types of lesions.