| 摘要: |
| 脾动脉瘤发病隐匿，症状多不典型。脾动脉瘤诊断方式多样，其中超声作为动脉瘤筛查首选，CTA、DSA的诊断率达100%，临床中需综合病史，症状和体征及多项影像检查结果，提高确诊率。治疗方案上，介入和外科手术均有所长，介入的应用将更加广泛。需秉持个体化原则，为患者选择合理治疗方案。目前，国内外多集中报道妊娠妇女合并巨大脾动脉瘤，部分学者研究认为巨大脾动脉瘤可能与妊娠期间体内性激素的紊乱有关，具体致病机制将成为未来研究的热点。 |
| 关键词: 脾动脉瘤 诊断 手术 介入治疗 个体化治疗方案 |
| DOI：10.11724/jdmu.2018.01.16 |
| 分类号:K826.2 |
| 基金项目: |
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| Latest advancement in diagnosis and treatment of splenic artery aneurysm：based on individualized treatment |
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WANG Hong, YANG Chuwei, LIU Yufei, WU Xueying
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Department of Emergency, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China
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| Abstract: |
| Clinical symptoms of splenic artery aneurysm are usually not typical. Although ultrasound is the first choice for the diagnosis of artery aneurysm，CTA and DSA have the highest diagnostic rate approaching 100%. Clinicians should comprehensive evaluate the patient’s history, symptoms and imaging signs to improve the diagnosis rate. Regarding to therapeutic options, both intervention and surgery are good choices. Surgeons need to attract great attention to early detection and early treatment, uphold the principle of individualization, and choose a reasonable treatment. At present, many domestic and foreign literatures have reported huge splenic artery aneurysm in pregnant women. Some scholars have suggested that huge splenic artery aneurysm may be related to sexual hormone disorders during pregnancy, and the specific pathogenesis will be the hot focus. |
| Key words: splenic artery aneurysms diagnosis surgery intervention individualized treatment |
