脾囊肿诊治现状

脾囊肿是临床上的少见病,可分真性和假性两大类.脾囊肿的诊断主要依靠B超、CT或MRI.根据囊肿直径及有无临床症状,采取保守治疗或外科治疗.外科治疗应尽量保留脾脏,提倡使用腹腔镜脾脏切除术治疗脾囊肿.保守及手术治疗的患者皆应定期行B超检查,以动态观察囊肿变化及有无复发.

Diagnosis and management of splenic cysts

Splenic cyst is clinically rare.It can be classified as either true or false.Ultrasound,CT and MRI scan are helpful in diagnosing splenic cyst.Indication for a treatment depends mainly on clinical symptoms and diameter of the cyst.Now,there is a more conservative attitude on splenic surgery and the patient should be offered laparoscopic approach.Both nonoperatively treated patients and surgically treated patients should be given ultrasound examination regularly,in order to check the cyst size and exclude reappearance.