【摘要】 目的 探讨脾囊肿的诊断与治疗方法。方法 结合部分国内外资料，分析讨论7例脾囊肿病例。结果 7例均手术治疗，行全脾切除4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3例。本组均治愈。结论 脾囊肿少见，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。

    【关键词】 脾；脾囊肿；脾切除

    Diagnosis and treatment of spleen cyst:a report of 7 cases

    QIU Yun-feng,XU Hai-min,SONG Zhao-dong.

    Dachang Hospital of Shanghai Baoshan District,Shanghai 200436,China

    【Abstract】 Objective To explore the method of diagnosis and treatment of spleen cyst.Methods 7 patients with spleen cyst were discussed according to portions of data.Results All 7 cases were treated with operation,4 had complete splenectomy,among which 1 had accessory spleen reserved,1 undergone spleen flake transplant;3 patients had 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. ......