【摘要】 目的 提高脾脏良性占位性病变的诊治水平。 方法 回顾性分析34例脾脏良性占位性病变的临床表现、影像学特点和临床疗效。 结果 脾脏良性占位性病变主要靠B超和CT发现，影像学检查多表现为脾脏实质内单发或多发的实性或囊性结节，对脾脏良性肿瘤，脾脏切除术疗效好。对脾脏炎症性疾病治疗应个体化。 结论 原发性脾脏良性肿瘤的诊断关键在于提高警惕，并选用合适的影像学检查以确诊。其治疗首选外科手术。

    关键词 脾脏肿瘤 良性 脾切除

    Clinical analysis of benign splenic space-occupying lesions

    Deng Xiaxing，Yang Weiping，Chen Hao，et al.

    Department of General Surgery，Ruijin Hospital Affiliated to SSMU，Shanghai200025

    【Abstract】 Objective To improve diagnosis and treatment of benign splenic space-occupying lesions.Methods 34cases of benign splenic space-occupying lesions were obtained and their clinical manifestation，image characteristics and curative effect were retrospectively analyzed.Results Benign splenic space-occupying lesions were found mainly by type B ultrasonography and CT.The image characteristics might be single or multiple solid or cystic node.Splenectomy had good results in splenic benign tumor.The splenic inflammatory diseases should be treat-ed individually.Conclusion The key points in diagnosing primary benign splenic tumors are the vigilance to these diseases and choice of appropriate radiographic methods.Surgical management is the first choice for their treatment. ......