中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2015年
2期
167-169
,共3页
孙泉%袁强%蒙广星%杜智%王毅军
孫泉%袁彊%矇廣星%杜智%王毅軍
손천%원강%몽엄성%두지%왕의군
紫癜肝病%肝切除术
紫癜肝病%肝切除術
자전간병%간절제술
Peliosis hepatis%Hepatectomy
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.
肝紫癜病是一種少見的良性肝血管病變.因其髮病率低,缺乏特異臨床錶現,術前診斷睏難.2014年4月天津市第三中心醫院收治1例因間斷肝區脹痛就醫患者.術前CT和超聲檢查髮現肝右葉佔位性病變,肝細胞性或血管源性噁性腫瘤待查,肝不典型跼竈性結節狀增生待查.患者行肝切除聯閤膽囊切除術治療.術後病理學檢查證實為肝紫癜病伴肝細胞腺瘤樣增生.術後隨訪至2014年10月20日,未見複髮.
간자전병시일충소견적량성간혈관병변.인기발병솔저,결핍특이림상표현,술전진단곤난.2014년4월천진시제삼중심의원수치1례인간단간구창통취의환자.술전CT화초성검사발현간우협점위성병변,간세포성혹혈관원성악성종류대사,간불전형국조성결절상증생대사.환자행간절제연합담낭절제술치료.술후병이학검사증실위간자전병반간세포선류양증생.술후수방지2014년10월20일,미견복발.
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.