肝结核瘤的诊断和治疗(附9例报告)  

DIAGNOSIS AND TREATMENT FOR LIVER TUBERCULOMA

作　　者：金炎[1] 王斌[1] 丁道亮 刘峰[1] 王晓明[1] 吕牮[1] 闫光志[1] 

机构地区：[1]吉林省肿瘤医院,长春130012

出　　处：《肝胆外科杂志》2002年第2期90-91,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　总结分析肝结核瘤临床诊断和治疗经验及影响诊断的相关因素。方法　回顾 1985年 11月～ 2 0 0 1年 3月间收治肝结核瘤 9例 ,对其发病、临床表现 ,诊断以及治疗进行分析。结果　 9例中 4例临床作出肝结核诊断。 4例诊断为原发性肝癌 ,1例诊断为肝转移癌。 9例均接受手术治疗 ,术后病理均诊断为肝结核瘤 ,误诊率 5 5 .6 %。结论　肝结核瘤青壮年多发 ,女性多于男性 ,肝区疼痛伴发热为主要症状 ,B超、CT只能诊断为肝占位。 B超引导下细针肝穿活检是临床诊断本病的主要方法 。Objective To investigate the clinical diagnosis and treatment for liver tuberculoma,associated factor of influence diagnosis.Methods Retrospective 9 cases of liver tuberculoma from November 1985 to March 2001,the infectious path,clinical characteristic,diagnosis and treatment are discussed.Results 4 cases with liver tuberculoma,4 cases with HCC,1 cases with liver metastasis among 9 cases patient,all are surgical operated.The diagnosis of pathology is liver tuberculosis after operation.the rate of misdiagnosis is 55.6%.Conclusions The prime of life is more infectious,the female sex is more than male,abdominal pain with fever is major manifestation.B ultrasound and CT scan diversity in different of disease,only diagnosis occupy lesion.Percutaneous liver biopsy with thin needle guided by B ultrasound is the most valuable method to confirm the diagnosis of hepatic tuberculosis.Surgical local resection are effective and practicable.

关 键 词：肝结核瘤 诊断 治疗 

分 类 号：R735.7[医药卫生—肿瘤]