脾血管瘤18例诊断及外科治疗

目的 探讨脾血管瘤的诊断及治疗方法。方法 对2003年11月至2012年1月手术治疗的18例脾血管瘤患者的临床资料进行回顾性分析。结果 18例患者仅3例有临床症状，其余均为体检发现。术前7例行B超检查，13例行CT检查，4例行MRI检查，提示脾血管瘤分别为1例、4例、2例。15例患者行开放脾切除术，3例行腹腔镜脾切除术，术后无并发症及死亡。结论 脾血管瘤无特异的症状和体征，发现脾血管瘤主要依赖B超、CT和MRI等影像学检查，确诊脾血管瘤有赖于病理检查，直径大于3 cm的脾血管瘤主张行脾切术治疗。

Diagnosis and surgical treatment of splenic hemangioma in 18 cases

Objective To explore and discuss the method of diagnosis and treatment of splenic hemangioma. Methods The clinical data of 18 cases of splenic hemangioma which confirmed by pathology in our hospital from November 2003 to January 2012 were retrospectively analyzed. Results Among 18 cases, only 3 of 18 cases were found with clinical symptoms, the others were found by image examination. Ultrasound was conducted in 7 cases, CT in 13 and MRI in 4. The cases of splenic hemangioma which diagnosed by ultrasonography, CT, MRI was 1, 4, 2, respectively. open splenectomy was proformed in 15 cases, while the other 3 cases were proformed under laparoscopy. All of cases have no complication and death after surgery. Conclusion With non-specific symptoms and signs, splenic hemangioma is diagnosed mainly according to ultrasound, CT, MRI and confirmed by pathology. Splenectomy may be a suitable therapy for splenic hemangioma whose diameter is greater than 3 cm.