CAJ | 학술논문

为探讨肝内胆管囊腺瘤(IBC)的临床特征及诊治方法,我们回顾性地分析了2008年1月至2013年6月7例IBC的临床表现、影像特点和手术方法.7例患者全部为女性,均诊断为IBC,5例有不同程度的右上腹痛,彩超可发现病灶,CT、MRI可确定诊断.7例患者中行右肝不规则切除2例,左肝外叶切除3例,左肝切除2例.IBC临床症状不典型,易误诊为单纯肝囊肿,治疗首选手术,完整切除是防止复发和恶变的关键.
위탐토간내담관낭선류(IBC)적림상특정급진치방법,아문회고성지분석료2008년1월지2013년6월7례IBC적림상표현、영상특점화수술방법.7례환자전부위녀성,균진단위IBC,5례유불동정도적우상복통,채초가발현병조,CT、MRI가학정진단.7례환자중행우간불규칙절제2례,좌간외협절제3례,좌간절제2례.IBC림상증상불전형,역오진위단순간낭종,치료수선수술,완정절제시방지복발화악변적관건.
To investigate the clinical characteristics,diagnosis and treatment of intrahepatic biliary cystadenoma,a total of 7 patients with intrahepatic biliary cystadenoma admitted in our department from January 2008 to June 2013 were enrolled and the clinical data (i.e.clinical manifestations,imaging features and surgical treatment) were analyzed retrospectively.All the 7 patients were female and diagnosed as intrahepatic biliary cystadenoma.Five cases complained right upper abdominal pain of various severities.Color Doppler ultrasound,CT and MRI confirmed the diagnosis in all patients.The surgery included irregular fight hepatectomy (n =2),left lateral lobe hepatectomy (n =3),and left hepatectomy (n =2).Patients with intrahepatic biliary cystadenoma usually manifest nonspecific clinical symptoms,and thus are prone to be misdiagnosed as simple hepatic cysts.For such patients,surgery is of first choice,and complete resection is the key to avoiding the recurrence and malignancy.