Williams R J, Glazer G
Department of Surgery, St Mary's Hospital, London.
Ann R Coll Surg Engl. 1993 Mar;75(2):87-9.
Splenic cysts are generally considered as either true epidermoid cysts or false pseudocysts. The former are thought to be congenital while the latter are reputedly post-traumatic. However, a number of important features are common to both types of cysts and this classification may need revision. The recognition of the importance of the spleen, together with developments in imaging and operative surgery have led to significant changes in the management of splenic cysts. Accurate preoperative diagnosis and localisation together with increasing awareness of splenic conservation techniques should now ensure that, whenever possible, cysts can be eradicated without resort to total splenectomy. We present four patients who illustrate various aspects of this condition.
脾囊肿通常被认为是真性表皮样囊肿或假性囊肿。前者被认为是先天性的，而后者据说是创伤后形成的。然而，这两种类型的囊肿有许多重要特征是相同的，这种分类可能需要修订。对脾脏重要性的认识，以及影像学和手术外科的发展，导致了脾囊肿治疗的重大变化。准确的术前诊断和定位，以及对脾保留技术的日益了解，现在应该确保在可能的情况下，无需进行全脾切除术就能根除囊肿。我们介绍四位患者，他们展示了这种疾病的各个方面。
