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目的 了解脾脏疾病的诊断与治疗方法。方法 对我院手术治疗的脾脏疾病18例,进行统计分析。结果 ①脾脏疾病发病无性别差异。②脾脏可发生原发性恶性肿瘤、转移性恶性肿瘤、血管瘤、囊肿、血肿、瘀血性脾肿大以及脾脓肿等疾病。③首发症状:左上腹疼痛、包块、腹胀、乏力等症状,临床确诊率55.6％。④B超的确诊率为55.6％,CT对脾脏疾病确诊率为100％(7/7)。⑤均行脾切除术或脾加联合脏器切除术。结论 ①脾脏疾病的术前诊断依据B超、CT的辅助检查诊断,二者联合检查确诊率高。②脾占位性疾病均应尽快行手术治疗。
Objective To understand the diagnosis and treatment of spleen diseases. Methods 18 cases of spleen disease treated in our hospital were analyzed statistically. Results ① There was no gender difference in the incidence of spleen disease. ② spleen can occur primary malignant tumors, metastatic malignancies, hemangiomas, cysts, hematoma, splenic congestion and spleen abscess and other diseases. ③ first symptom: left upper quadrant pain, mass, bloating, fatigue and other symptoms, the clinical diagnosis rate of 55.6%. ④ The diagnosis rate of B ultrasound was 55.6%, CT diagnosis of spleen disease was 100% (7/7). ⑤ splenectomy or splenectomy plus organ resection. Conclusions ① The preoperative diagnosis of spleen disease is based on the diagnosis of B-ultrasound and CT, and the combined diagnosis of the two is high. ② splenic space-occupying diseases should be treated as soon as possible.