Spleen Salvaging Treatment Approaches in Non-parasitic Splenic Cysts in Childhood
Spleen Salvaging Treatment Approaches in Non-parasitic Splenic Cysts in Childhood
复制标题
儿童非寄生性脾囊肿的保脾治疗方法
DOI：
10.1007/s12262-015-1373-x
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发表时间：
2016
影响因子：
0.4
通讯作者：
A. Hiçsönmez
中科院分区：
文献类型：
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作者：
H. Gezer;P. Oğuzkurt;A. Temiz;E. İnce;S. Ezer;N. Koçer;Ş. Demir;A. Hiçsönmez
这项研究的目的是评估我们对原发性非寄生虫性脾囊肿(NPSC)的经验，这种病在儿童中相对罕见，几乎完全由单一病例报告或文献中的小病例系列组成。对2005-2015年间所有来我科就诊的NPSC患者的病历进行回顾性评价。儿童22例，年龄2个月~14岁，平均9.2 ± 4.7岁。肿瘤大小5~200m m，平均55.4 ± 48.2 m m。10例患者接受了脾囊肿手术。行脾部分切除( )2例，全囊肿切除(OPEN= 4例或腹腔镜下 1例)，全脾切除( 3例)。未手术的患者没有症状，随后进行了超声检查。非手术组随访6个月~5年，平均2.27 ± 1.29年。4例(33%)非手术患者完全消退。退化囊分别为10 mm、16 mm、30 mm和40 mm。大约一半的NPSC是偶然诊断出来的。小的(5厘米)无症状的囊肿应定期随访，并进行US/体格检查以确定其消退情况。如果需要手术，我们更喜欢开放的囊肿切除术，因为它能取得很好的效果，并保留了脾的免疫功能。
The aim of this study was to evaluate our experience with primary non-parasitic splenic cysts (NPSC) which are relatively rare in children and consist almost exclusively of single case reports or small case series in the literature. The medical records of all patients who presented to our clinic with NPSC between 2005 and 2015 were evaluated retrospectively. There were 22 children whose ages ranged from 2 months to 14 years (mean 9.2 ± 4.7 years). The size of the cysts was in the range of 5 to 200 mm (mean 55.4 ± 48.2 mm). Ten patients underwent surgery for splenic cysts. Partial splenectomy (n= 2), total cyst excision (either openn= 4 or laparoscopicallyn= 1), and total splenectomy (n= 3) were performed. The non-operated patients were asymptomatic and followed with ultrasound (US). The follow-up period in non-operated patients ranged from 6 months to 5 years (mean 2.27 ± 1.29 years). Complete regression was observed in four (33 %) non-operated patients. The regressed cyst measurements were 10, 16, 30, and 40 mm, respectively. Approximately half of the NPSC is diagnosed incidentally. Small (<5 cm) asymptomatic cysts should be under regular follow-up with US/physical examination for regression. If surgery is required, we prefer open cyst excision as it gives excellent results and preserves splenic immune function.