目的　　探讨脾　动脉瘤的诊治经验。方法　　回顾性分析我院１２例脾动脉瘤的诊断和　外科治疗资料。结果　　除１例行健康普查确诊外，其它病例的临床　表现大都危重，彩色多普勒超声检查是本组最基本的诊断手段，全部病例都急诊或限期实施　外科手术治疗，未发生脾脏的血供障碍，无围手术期死亡。结论　　　几乎所有病例都可经彩色多普勒超声检查初步明确诊断，根据具体病情，尽量选择简捷、安　全、有效的脾动脉瘤体结扎术。 Objective To investigate the diagnosis and treatment of splenic aneurysms. Methods Retrospective analysis of 12 cases of splenic aneurysm in our hospital diagnosis and surgical treatment of data. Results In addition to a case of health census diagnosed, the clinical manifestations of other cases are mostly critical, color Doppler ultrasound is the most basic diagnostic tool in this group, all cases of emergency or limited period of surgical treatment, no spleen blood supply Obstacle, no perioperative death. Conclusions Almost all cases can be diagnosed initially by color Doppler ultrasonography. According to the specific conditions, simple, safe and effective ligation of splenic artery aneurysm should be chosen as possible.