• 大連醫(yī)科大學(xué)第一臨床學(xué)院普外二科(大連116011);

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(jìn)行回顧性分析。結(jié)果例1為男性,因脾功能亢進(jìn)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(yuǎn)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

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  2. 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.
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  4. 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.