我国近20年肝脏炎性肌纤维母细胞瘤流行病学特征及诊治分析  

Epidemiological characteristics and diagnosis analysis of liver inflammatory myofibroblastic tumor in recent 20 years in China

作　　者：郭祥峰[1] 高超[1] 孙华[1] 孙文德[1] 杨岩[1] 邱法波[2] 

机构地区：[1]济宁医学院附属湖西医院肝胆外科,山东省菏泽市264300 [2]青岛医学院附属医院肝胆外科

出　　处：《临床合理用药杂志》2017年第21期34-36,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的分析我国近20年肝脏炎性肌纤维母细胞瘤(IMT)流行病学特征及诊治。方法联合检索维普数据库、中国知网及中国生物医学文献数据库等数据库1993—2013年有关肝脏炎性假瘤、肝脏IMT的文献,回顾性总结分析其流行病学特征及诊治分析。结果共检索有效文献172篇计1672例患者,男女比例为1.91∶1;中位年龄41.83岁;患者临床表现无特异性;首选行肝脏核磁共振成像(MRI)检查,确诊率高;临床多采用局部切除手术治疗。结论肝脏IMT在临床上少见,其临床表现缺乏特异性,CT、MRI检查有助于诊断,而病理组织学及免疫组化对本病具有决定性的诊断价值,且局部切除术可达到根治的效果,预后良好。Objective To analyse the epidemiological characteristics and diagnosis analysis of liver inflammatory myofibroblastic tumor（ IMT） in recent 20 years in China. Methods By retrieving the literature in VIP database,China Net and Chinese Biomedical Literature Database and many other Chinese core database about hepatic inflammatory pseudotumor,liver IMT were detected from 1993 to 2013,the epidemiological characteristics and diagnosis analysis of liver IMT were retrospective analysed. Results 172 pieces of effective literatures were retrieved,involving 1672 cases of patients,the ratio of male and female was 1. 91： 1; the mean age was 41. 83 years; The vast majority of the patients had none clinical manifestations; the first choice was MRI,and with high confirmed diagnostic rate; local excision operation method was more. Conclusion The liver IMT is rare in clinic,and the clinical manifestations lack specialties,CT,MRI were benefit for diagnosis of liver IMT,and the pathological histology and immunohistochemistry have the decisive diagnosis to the disease,and local excision can achieve the effect of radical cure,and the prognosis is good.

关 键 词：肝脏炎性肌纤维母细胞瘤 流行病学特征 诊断 治疗结果 

分 类 号：R735.7[医药卫生—肿瘤]