肝脏局灶性结节性增生36例临床分析  

Clinical analysis of 36 cases of focal nodular hyperplasia of the liver

作　　者：胡望 朱继生 付诚超 李勇[1] Hu Wang;Zhu Jisheng;Fu Chengchao;Li Yong(Department of General Surgery,the First Affiliated Hospital,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院普通外科,南昌330006

出　　处：《中华普通外科杂志》2022年第9期641-645,共5页Chinese Journal of General Surgery

摘　　要：目的探讨肝脏局灶性结节性增生(focal nodular hyperplasia,FNH)的临床特征、治疗及其预后。方法回顾性分析南昌大学第一附属医院普通外科2013年5月至2021年8月经手术治疗并被病理证实的36例FNH患者的临床资料。结果患者中男13例,女23例,平均年龄(35.9±15.3)岁。50%患者于体检时发现,术前经影像学诊断为FNH者21例(58.3%)。所有患者均接受外科手术治疗。无手术相关死亡。病理均证实为FNH。中位随访时间21.1个月,所有患者均存活,1例患者出现复发。结论 FNH是一种容易误诊的肝脏良性肿物疾病,对有明显症状、肿块进行性增大或与肝恶性肿瘤难以区分的病例应行手术切除,且预后良好。Objective To explore the clinical features,treatment and prognosis of focal nodular hyperplasia(FNH)of the liver.Methods A retrospective analysis of the clinical data of 36 patients with FNH who had undergone surgery and were pathologically confirmed from May 2013 to Aug 2021 was made at the General Surgery Department of the First Affiliated Hospital of Nanchang University.Results There were 13 males and 23 females,with an average age of(35.9±15.3)years.50%patients were asymptotic,21 cases(58.3%)were diagnosed as FNH by imaging before operation.All patients underwent surgical resection.There was no postoperative mortality.Pathology confirmed preoperative tentative diagnosis of FNH in all cases.The average follow-up time was 21.1 months,all patients were alive,and 1 patient had a relapse.Conclusions FNH is a benign liver tumor like lesion.Surgery is suggested for cases suspected of tumor and the prognosis is good.

关 键 词：灶性结节增生 诊断 治疗 病理 

分 类 号：R657.3[医药卫生—外科学]