| 脾脏错构瘤的诊断与外科治疗 |
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| 引用本文： | 邓明飞,孙跃民,曲辉,刘鸿章,赵跃鹏,田艳涛,王成锋,单毅,赵东兵,白晓枫. 脾脏错构瘤的诊断与外科治疗[J]. 中国综合临床, 2007, 25(1): 673-675. DOI: 10.3760/cma.j.issn.1008-6315.2009.07.001 |
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| 作者姓名： | 邓明飞 孙跃民 曲辉 刘鸿章 赵跃鹏 田艳涛 王成锋 单毅 赵东兵 白晓枫 |
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| 作者单位： | 新疆医科大学附属中医医院普外科;中国医学科学院肿瘤医院腹部外科,北京,100021;保定市第三医院外科;承德县医院外科; |
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| 基金项目： | 国家教育部高等学校博士学科点专项基金资助项目Terry Fox基金重点课题 |
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| 摘 要： | 目的 探讨脾脏错构瘤的诊断与外科治疗方法.方法 回顾性分析我院1997年1月至2007年12月收治的3例脾脏错构瘤患者临床病理资料,并检索同期国内文献报道的17例脾脏错构瘤患者的临床资料,对该病的临床表现、病理特点、诊断和治疗进行分析.结果 20例脾脏错构瘤患者以左上腹部不适为首发症状13例,无任何症状7例.20例患者均接受手术治疗,术后恢复良好,无严重并发症发生,无肿瘤复发转移.结论 脾脏错构瘤的确诊依赖于术后病理学诊断,手术切除是最佳治疗手段,预后较好.
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| 关 键 词： | 脾脏错构瘤 外科治疗 |
Diagnosis and treatment of splenic harmatoma |
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| Abstract: | Objective To discuss the diagnosis and treatment of splenic harmatoma(SH). Methods The clincial data of three cases of SH treated in our hospital from January 1997 to December 2007 were collected,and the other 17 cases which were published from January 1997 to December 2007 in the Chinese biological and medical lit-erature database were reviewed. The clinical manifestation,pathological findings,diagnosis and treatment of these 20 patients were analyzed. Results The main symptoms were abdominal pain or discomfort and abdominal mass in 13 cases(13/20). All 20 patients underwent surgical treatment with good recovery without severe complications and re-currence. Conclusions The definite diagnosis of SH depends on postoperative pathological findings. Complete surgi-cal resection is the best treatment for SH with favourable prognosis. |
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| Keywords: | Splenic harmatomaSurgical procedure |
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