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目的 探讨原发性脾肿瘤的诊断及治疗。方法 回顾性分析 1985年 1月至 2 0 0 0年 12月收治的 2 7例原性脾肿瘤的临床资料。结果 2 7例中良性肿瘤 2 0例 ,恶性肿瘤 7例 ,2 7例均行手术切除 ,无手术死亡 ,脾良性肿瘤预后较好 ,随诊的 7例恶性肿瘤中 ,2例血管肉瘤及 2例恶性淋巴瘤分别死于术后 6月、8月、2 2月、2 8月 ,3例恶性淋巴瘤存活五年以上。结论 早期发现、早期诊断对原发性脾肿瘤的预后很重要 ,治疗以手术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 splenic tumor. Methods The clinical data of 27 cases of primary splenic tumors admitted from January 1985 to December 2000 were retrospectively analyzed. Results Twenty-seven benign tumors, 20 cases of malignant tumors, 7 cases of malignant tumors, 27 cases underwent surgical resection, no surgical death, spleen benign tumor prognosis is good, followed up in 7 cases of malignant tumors, 2 cases of angiosarcoma and 2 Cases of malignant lymphoma were died after surgery in June, August, February 2, August, 3 cases of malignant lymphoma survival of more than five years. Conclusion Early detection and early diagnosis of primary splenic tumor prognosis is very important, the treatment of surgery based on the different nature of the lesion to take the appropriate treatment.