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肝硬化脾切除术后副脾增生的超声诊断及探讨

Ultrasound Diagnosis and Discussion about Accessory Spleen Hyperplasia after Splenectomy of Cirrhosis
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摘要 目的探讨有关副脾增生的相关问题,明确脾切除术后副脾的超声诊断及鉴别,减少副脾病变的误诊,开阔诊断思路,为进一步了解其解剖及生理功能研究提供临床资料。方法动态观察2009年1月至2010年6月在宜昌市第三人民医院就诊的6例肝硬化脾切除术后副脾增生患者,并常规记录其副脾的数目、大小、形态、内部回声及其彩色多普勒超声探查情况。结果 6例患者副脾经综合判断均准确诊断。动态观察期间,其数目、大小、形态、内部回声及其彩色多普勒状态无明显变化。结论脾切除术后副脾增生发生率较低、误诊率高,但只要细致观察、综合判断,可避免副脾的误诊。 Objective To explore the relevant accessory spleen hyperplasia related issues,clarify accessory spleen ultrasound diagnosis after splenectomy and differential diagnosis of splenic lesions,to reduce misdiagnosis,open ways of diagnosis,to provide clinical references for further understanding of the anatomy and physiological function research.Methods A dynamic observation on 6 patients with accessory spleen hyperplasia after splenectomy for treatment of liver cirrhosis in the Third People′s Hospital of Yichang during 2009.1-2010.6 was done,and the accessory spleen number,size,shape,internal echo and color Doppler state were routinely recorded.Results 6 cases of patients with accessory spleen were accurately diagnosed by comprehensive judgment.During the dynamic observation period,its number,size,shape,internal echo and color Doppler state had no marked changes.Conclusion Accessory spleen hyperplasia after splenectomy has low incidence,but high misdiagnosis rate,which can be avoided through careful observation and comprehensive judgment.
出处 《医学综述》 2013年第6期1147-1148,共2页 Medical Recapitulate
关键词 脾切除 副脾 超声诊断 探讨 Splenectomy Accessory spleen Ultrasound diagnosis Discussion
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