脾脏占位性病变72例临床分析

目的探讨脾脏占位性病变的临床诊治措施,分析影像学对脾脏占位性病变的价值,总结有效治疗手段。方法对2008年9月～2012年10月我院收治的72例脾脏占位性病变患者的临床资料进行回顾性分析,其中良性病变50例,恶性病变22例。观察患者的临床诊断措施,并总结治疗方法。结果 72例患者的临床诊断主要包括病史、症状、体征等,影像学诊断中超声造影准确率较高,与灰阶超声比较差异有统计学意义（P〈0.05）;72例患者中采用手术治疗69例,保守治疗3例,患者均康复出院,无死亡病例。结论脾脏占位性病变患者使用临床综合诊断中超声造影的诊断价值较高,可以更好地对良恶性进行鉴别;对脾脏进行切除是临床治疗脾脏占位性病变的主要方法。

Clinical analysis of 72 cases with splenic space-occupying lesions

Objective To study the clinical diagnosis and treatment measures of splenic space-occupying lesions,analyzes the value of imaging tests of splenic space-occupying lesions,and summarizes the effective treatment.Methods Retrospectively analyzed the data of 72 cases of patients with splenic space-occupying lesions,who were admitted in our hospital from September 2008 to October 2012,50 cases of them had benign lesions,and 22 cases had malignant lesions.Observed the clinical diagnosis measures and summarized the treatment methods.Results The main clinical diagnosis of 72 cases included medical history,symptoms,signs etc.Contrast enhanced ultrasound had high accuracy rate in imaging diagnosis methods,there were significantly differences between contrast enhanced ultrasound and grayscale sonography（P0.05）.Of the 72 cases of patients,69 cases were treated by surgery,and 3 cases were treated by conservative treatment,all of the patients had recovered and been released from hospital,no deaths.Conclusion Contrast enhanced ultrasound have high diagnostic value in splenic space-occupying lesions,it can identify benign and malignant lesions better,splenectomy is the main method in the clinical treatment of splenic space-occupying lesions.