肝紫癜病的诊断与治疗  

Diagnosis and treatment of peliosis hepatis

作　　者：孙泉[1] 袁强[1] 蒙广星[1] 杜智[1] 王毅军[1] 

机构地区：[1]天津市第三中心医院肝胆外科,300170

出　　处：《中华消化外科杂志》2015年第2期167-169,共3页Chinese Journal of Digestive Surgery

摘　　要：肝紫癜病是一种少见的良性肝血管病变.因其发病率低,缺乏特异临床表现,术前诊断困难.2014年4月天津市第三中心医院收治1例因间断肝区胀痛就医患者.术前CT和超声检查发现肝右叶占位性病变,肝细胞性或血管源性恶性肿瘤待查,肝不典型局灶性结节状增生待查.患者行肝切除联合胆囊切除术治疗.术后病理学检查证实为肝紫癜病伴肝细胞腺瘤样增生.术后随访至2014年10月20日,未见复发.Peliosis hepatis is a rare benign hepatic vascular disease.There is the lack of specific clinical features and preoperative diagnosis.A patient with intermittent liver area pain was admitted to the Third Central Hospital of Tianjin in April 2014.The patient with space-occupying lessions of the right lobe of liver was preliminarily diagnosed as with hepatocellular tumor or vasogenic tumor by computed tomography and B ultrasound examinations and then received liver resection combined with cholecystectomy.The result of postoperative pathological examination confirmed peliosis hepatis with adenomatous hyperplasia of liver cells.The patient was followed up till October 20,2014 without recurrence.

关 键 词：紫癜肝病 肝切除术 

分 类 号：R657.3[医药卫生—外科学]