摘要
脾脏切除术后残留的副脾可代偿性增大,由于副脾具有不定位性,可位于典型部位或不典型部位,容易引起误诊,有时还会造成不必要性的手术,给临床的诊疗增加了很高的难度。本文通过这个典型案例,探讨副脾的异位与其他相似疾病的诊断和治疗,诸如:肾上腺瘤、胰腺内副脾表皮样囊肿、右侧膈肌副脾误诊为肝脏肿瘤等相关疾病,进而增强临床医生对于副脾的认识和鉴别,为临床的诊断提供一个新的思路和经验。
The residual spleen after splenectomy can be compensated for enlargement. Because the accessory spleen is notlocated, it can be located in the typical part or atypical part. It is easy to cause misdiagnosis and sometimes cause unnecessarysurgery. It has increased the difficulty of clinical diagnosis and treatment. Through this typical case, we discuss the commonoccupying sites of accessory spleen and the way of diagnosis and treatment, so as to enhance clinicians＇ understanding ofaccessory spleen and provide a new train of thought and experience for clinical diagnosis.
作者
张向向
王科深
王世垚
吴昊
陈朝虎
田俊强
ZHANG Xiangxiang;WANG Keshen;WANG Shiyao;WU Hao;CHEN Chaohu;TIAN Junqiang(Department of Urology,the Second Affiliated Hospital of Lanzhou University/ Key Laboratory of Urinary System Diseases of Gansu/ GansuKidney Urology Center,Lanzhou 730030,China)
出处
《分子影像学杂志》
2018年第4期562-565,共4页
Journal of Molecular Imaging
关键词
肾周副脾
肾周血肿
误诊
鉴别
诊疗
accessory splenic
similar disease
identify
diagnosis and treatment
