Irving M H
Surgical Professorial Unit, St Bartholomew's Hospital, London.
Ann R Coll Surg Engl. 1975 Apr;56(4):202-11.
The indications for splenectomy in haematological and myeloproliferative disorders are now wider than before. An increased understanding of the concept of hypersplenism and a developing appreciation of the value of splenectomy in chronic leukaemia has been partially responsible for the increase. The principal factor, however, has been the advent of routine splenectomy as an integral part of the diagnostic process in Hodgkin's disease. This paper discusses these indications and their surgical pathology.
目前，血液系统疾病和骨髓增殖性疾病中行脾切除术的适应证比以前更广泛。对脾功能亢进概念的进一步理解以及对脾切除术在慢性白血病中价值的逐渐认识，在一定程度上导致了这种增加。然而，主要因素是常规脾切除术已成为霍奇金病诊断过程中不可或缺的一部分。本文讨论了这些适应证及其手术病理学。
