目的探討脾動脈瘤的診治經(jīng)驗。方法對我院1980~2000年收治的2例脾動脈瘤患者的臨床資料進行回顧性分析。結(jié)果例1為男性,因脾功能亢進入院,行CT及血管造影檢查發(fā)現(xiàn)脾動脈多發(fā)動脈瘤,行動脈瘤切除、脾切除術(shù)。例2為女性,因腹腔內(nèi)出血而急診行多普勒檢查得以確診,急診手術(shù)行遠端脾動脈結(jié)扎、脾切除術(shù)。結(jié)論對臨床癥狀明顯且有增大趨勢的脾動脈瘤應(yīng)積極行手術(shù)治療,特別是預(yù)期妊娠的女性患者及行肝移植患者。妊娠患者,推薦介入及腹腔鏡微創(chuàng)治療方法。
引用本文: 鞏鵬,王忠裕,李克軍,王洪江. 脾動脈瘤的診治體會(附2例報告). 中國普外基礎(chǔ)與臨床雜志, 2002, 9(2): 125-126. doi: 復(fù)制
1. | Matter SG, Lumsden AB. The management of splenic artery aneurysms: experience with 23 cases \[J\]. Am J Surg, 1995; 169(6)∶580. |
2. | De perrot MD, Buhler L, Deleaval J, et al. Management of true aneurysms of the splenic artery \[J\]. Am J Surg, 1998; 175(6)∶466. |
3. | Ayalon A, Wiesner RH, Perkins JD, et al. Splenic artery aneurysms in liver transplant patients \[J\]. Transplantation, 1988; 45(2)∶386. |
4. | Matsumoto K, Ohgani M, Shirasugi N, et al. A first case report of the successful laparoscopic repair of a splenic artery aneurysm \[J\]. Surgery, 1997; 121(4)∶462. |
- 1. Matter SG, Lumsden AB. The management of splenic artery aneurysms: experience with 23 cases \[J\]. Am J Surg, 1995; 169(6)∶580.
- 2. De perrot MD, Buhler L, Deleaval J, et al. Management of true aneurysms of the splenic artery \[J\]. Am J Surg, 1998; 175(6)∶466.
- 3. Ayalon A, Wiesner RH, Perkins JD, et al. Splenic artery aneurysms in liver transplant patients \[J\]. Transplantation, 1988; 45(2)∶386.
- 4. Matsumoto K, Ohgani M, Shirasugi N, et al. A first case report of the successful laparoscopic repair of a splenic artery aneurysm \[J\]. Surgery, 1997; 121(4)∶462.