临床普外科电子杂志
臨床普外科電子雜誌
림상보외과전자잡지
Journal of General Surgery for Clinicians(Electronic Version)
2015年
2期
39-42,48
,共5页
胆管囊腺瘤%PTC胆道造影%病变定位%肝切除
膽管囊腺瘤%PTC膽道造影%病變定位%肝切除
담관낭선류%PTC담도조영%병변정위%간절제
Hepatobiliary cystadenoma%PTC cholangiography%Lesion location%Liver resection
目的 探讨肝胆管囊腺瘤的诊断及治疗方法,从而提高对本病的认识.方法 总结我院2004年1月至2015年2月收治的9例病理诊断为肝内胆管囊腺瘤的临床表现、影像学特点、外科手术治疗情况及术后病理结果,回顾性分析各诊断及治疗情况.结果 7例肝脏囊腺瘤患者均为女性,年龄分布在42~76岁之间,平均62岁,影像学肿瘤病灶7例位于肝左叶,为囊实性.9例病变均施行手术完整切除,术后病理诊断为肝内胆管囊腺瘤.5例随访2年,未见复发、恶变.结论 肝脏囊腺瘤多好发于中年女性,临床表现不典型,术前易误诊,PTC胆道造影结合CT及MRI检查有助于明确诊断,治疗上首选手术治疗,准确病变定位是手术切除的关键,推荐病变肝叶或肝段的完整切除.
目的 探討肝膽管囊腺瘤的診斷及治療方法,從而提高對本病的認識.方法 總結我院2004年1月至2015年2月收治的9例病理診斷為肝內膽管囊腺瘤的臨床錶現、影像學特點、外科手術治療情況及術後病理結果,迴顧性分析各診斷及治療情況.結果 7例肝髒囊腺瘤患者均為女性,年齡分佈在42~76歲之間,平均62歲,影像學腫瘤病竈7例位于肝左葉,為囊實性.9例病變均施行手術完整切除,術後病理診斷為肝內膽管囊腺瘤.5例隨訪2年,未見複髮、噁變.結論 肝髒囊腺瘤多好髮于中年女性,臨床錶現不典型,術前易誤診,PTC膽道造影結閤CT及MRI檢查有助于明確診斷,治療上首選手術治療,準確病變定位是手術切除的關鍵,推薦病變肝葉或肝段的完整切除.
목적 탐토간담관낭선류적진단급치료방법,종이제고대본병적인식.방법 총결아원2004년1월지2015년2월수치적9례병리진단위간내담관낭선류적림상표현、영상학특점、외과수술치료정황급술후병리결과,회고성분석각진단급치료정황.결과 7례간장낭선류환자균위녀성,년령분포재42~76세지간,평균62세,영상학종류병조7례위우간좌협,위낭실성.9례병변균시행수술완정절제,술후병리진단위간내담관낭선류.5례수방2년,미견복발、악변.결론 간장낭선류다호발우중년녀성,림상표현불전형,술전역오진,PTC담도조영결합CT급MRI검사유조우명학진단,치료상수선수술치료,준학병변정위시수술절제적관건,추천병변간협혹간단적완정절제.
Objective To explore the clinical diagnosis and treatment of hepatobiliary cystadenoma (HBC) and to raise awareness of the disease.Methods Clinical data including clinical manifestation, imaging feature, operative measure and pathological character on 9 HBC patients from January 2004 to February 2015 were retrospectively analyzed. Results All patients with hepatobiliary cystadenoma were all female with an average age of 62 years (42~76 years). Images showed that the lesion of hepatobiliary cystadenoma was cystic with solid lesion for 7 cases. The lesion located in the left lobe of the liver. All patients were confirmed hepatobiliary cystadenoma by pathology after operation. Five cases had no recurrence in two years after operation. Conclusion It is often misdiagnosed as other hepatic lesion. PTC cholangiography combined with CT and MRI examinations are necessary for correct diagnosis. Accurate lesion location is important to the evaluation before operation. Complete operative resection is recommended method.
