57例肝脏少见良性占位病变的回顾性分析  

Uncommon Hepatic Benign Space-occupying Lesions:A Retrospective Analysis of 57 Cases

作　　者：方金鸣[1] 王建祥[1] 宋自芳[2] 熊俊[2] 郑启昌[2] 

机构地区：[1]华中科技大学同济医学院附属普爱医院普外科,武汉430033 [2]华中科技大学同济医学院附属协和医院肝胆外科,武汉430022

出　　处：《华中科技大学学报（医学版）》2014年第3期340-343,共4页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的分析肝脏少见良性占位病变的病历资料,探讨诊断经验。方法回顾性分析华中科技大学同济医学院附属协和医院肝胆外科近十年经术后病理证实的57例肝脏少见良性占位病变的临床资料。结果多数患者无明显的既往史,无或者轻度具有临床症状和实验室指标异常,24例有典型影像学表现,但只有6例肝局灶性结节增生患者得到了正确的术前诊断。结论部分肝脏少见良性病变在CT和MR动态扫描下具有特征性影像学表现,遵循诊治流程,完善常规检查,掌握疾病特点,可提高术前确诊率。Objective To review the medical records of patients with uncommon hepatic benign space-occupying lesions in order to improve the accuracy of clinical diagnosis. Methods Clinical data of 57 patients who were pathologically confirmed to have hepatic benign space-occupying lesions in the Department of Hepatobiliary Surgery of Union Hospital in the last ten years were retrospectively analyzed. Results Most of the patients had no medical history of hepatic diseases,no or mild clinical syrup toms and laboratory abnormalities. Twenty-four patients had typical images,but only 6 with hepatic focal nodular hyperplasia （FNH） were diagnosed correctly before operation. Conclusion Some uncommon hepatic benign space-occupying lesions have characteristic images on CT and MR dynamic scanning. Diagnosis of uncommon hepatic benign space-occupying lesions can be improved by conforming to the standardized protocol of diagnosis and treatment,eonlpleting the routine examination and maste- ring the characteristics of disease.

关 键 词：良性占位病变 肝局灶性结节增生 肝腺瘤 肝结核瘤 肝血管平滑肌脂肪瘤 肝肉芽肿 

分 类 号：R657.3[医药卫生—外科学]