脾脏保留与脾动脉瘤的处理
Splenic conservation and the management of splenic artery aneurysm.
作者信息
Taylor J L, Woodward D A
出版信息
Ann R Coll Surg Engl. 1987 Jul;69(4):179-80.
Abstract
We report two patients with splenic artery aneurysm diagnosed by CT, treated by proximal and distal ligation of the splenic artery and followed for two years by CT to assess splenic size and pitted erythrocyte counting to assess function. Literature review shows that excision of the aneurysm and splenectomy is usual but with growing regard for conservation of splenic tissue we suggest that proximal and distal ligation of the artery is a preferable alternative as shown by splenic function tests in these patients.
摘要
我们报告了两名经CT诊断为脾动脉瘤的患者，通过脾动脉近端和远端结扎进行治疗，并通过CT随访两年以评估脾脏大小，通过点彩红细胞计数评估脾脏功能。文献综述表明，通常采用动脉瘤切除和脾切除术，但随着对保留脾组织的日益重视，我们认为动脉近端和远端结扎是一种更好的选择，正如这些患者的脾功能测试所示。
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