脾囊肿的诊断与治疗探讨

目的探讨脾囊肿的诊断与治疗方法。方法对我院1990-01～2009-01收治的7例脾囊肿病例的临床诊断及治疗情况进行回顾性分析。结果7例分别行BUS、CT、X线平片及上消化道钡餐检查及诊断；均行手术治疗，其中行全脾切除5例（其中1例保留了副脾，1例行脾片移植），行半脾及囊肿切除2例，7例全部治愈。结论脾囊肿少见，临床表现无特异性，目前病因仍未完全明了，其诊断主要依靠病史、BUS及CT检查。本病以手术治疗为主，手术方式应根据囊肿的部位、大小、性质，分别选择全脾切除，半脾或脾部分切除。

Diagnosis and treatraent of spleen cyst

Objective To explore the method of diagnosis and treatment of spleen cyst. Methods The data of 7 patients with spleen cyst admitted to our hospital from January 1990 to January 2009 were retrospectively analysed. Results All 7 patients were treated with operation. Five patients had complete splenectomy, among them 1 had accessory spleen reserved, 1 underwent spleen flake transplantation;2 patients underwent semisplenectomy and cyst resection. All patients were cured. Conclusion Spleen cyst is not very common. Its pathogeny is still not very clear. The diagnosis mainly depends on medical history, BUS and CT. Surgery is the main treatment. The operation mode selection is based on the position, size and property of the cyst. And accordingly complete splenectomy, semisplenectomy or spleen ablation is selected.