目的    探讨射频辅助脾部分切除术在脾脏良性占位性病变中的临床应用价值。方法    回顾性分析2010年9月至2012年2月遂宁市中心医院行射频辅助脾部分切除术的21例脾脏良性占位性病变病人的临床资料。其中脾脏非寄生虫性囊肿11例，脾血管瘤3例，脾血肿5例，脾表皮样囊肿1例，脾脓肿1例。结果    21例病人均顺利完成手术，手术时间（67.0±17.5）min，术中出血（55.7±10.3）mL，术后体温均有一过性升高，但经常规处理或观察数日后均降至正常。术后2例（9.5%）病人发生并发症，其中1例为左侧胸腔积液，1例为脾窝少量积液，观察数日后均自行吸收。病人平均住院时间为（10.0±3.5）d。随访1～24个月，无出血、腹腔脓肿、血栓形成等严重并发症发生，亦无脾切除术后凶险性感染发生。实验室检查及免疫检查均正常。结论    射频辅助脾部分切除术在脾脏良性占位性病变中是可行的、安全的、实用的，值得在符合适应证的病人中推广应用。

The clinical applicaion analysis of taken radiofrequency assisted partial splenectomy operations on patients with benign splenic space-occupying lesions        XIAO Chang-wu*，QIU Rong，ZHANG Wei，LI Ning. *Department of Hepatobiliary Surgery，Suining Central Hospital，Suining 629000，China
Corresponding author：ZHANG Wei，E-mail：zw68229@sina.com
Abstract    Objective    To assess  the feasibility，safty and clinical practicalty value of taken radiofrequency assisted partial splenectomy operations on patients with benign splenic space-occupying lesions. Methods    The clinical data of 21 cases of taken radiofrequency assisted partial splenectomy operations on patients with benign splenic space-occupying lesions from September 2010 to February 2012 were retrospectively analyzed in Suining Central Hospital. These patients were the follows，Splenic non parasitic cysts in 11 cases，splenic hemangioma in 3 cases，splenic hematoma 5 cases，splenic epidermoid cyst in 1 cases，splenic abscess in 1 cases respectively. Results    All of operations were completed smoothly．The average operative time was （67.0±17.5）min and the average of intraoperative blood was （55.7±10.3）ml. Patients in this group had a transient increase of temperature，but the conventional treatment or observation decreased to normal level a few days later. The complication rate in this group was 9.5% (2/21)，which 1 case of left pleural effusion，1 cases of splenic fossa effusion was observed after a few days，self absorption. The average duration of hospitalization was （10.0±3.5）d. All patients were followed up and the period of following-up were 1~24 months. During hospitalization and follow-up，no serious complications such as bleeding, abdominal abscess, and thrombosis occurred. No overwhelming postsplenectomy infection (OPSI) occurred，immunological examination showed normal spleen function in All patients. Conclusion    Taken radiofrequency assisted partial splenectomy operations on patients with benign splenic space-occupying lesions is feasible，safe and practical which should be developed extensively in clinic.