摘要
肝胆管囊腺瘤(HBC)临床少见.但80年代我国报导渐多,结合我院收治一例,检索国内9例,并复习国外文献做一临床分析.HBC的发生与胚胎发育中胆管上皮异常有关.其临床症状主要为腹痛、包块、黄疸及消化道症状.提高对HBC的认识,使用先进的影像技术有可能在术前确诊.由于HBC术后有较高的局部复发率应争取做根治性的肝叶切除,防止术后复发.手术中应行胆道造影及病理检查.
Hepatobiliary cystadenoma (HBC)was very seldom seen in clinics in the past. But it has been reported more and mote in our country in the 1980s. Owing to high recurrence rate after operation, it is now regarded as a kind of malignant tumor but with low degree of malignancy. The main clinical symptoms include abdominal pain, tumor mass, jaundice, and gastroentestinal complaints. Be well aware of the presene of their con-ditions and with advanced image diagnostic techniques, it is possible to establish an accurate diagnosis before op-eration. As for it's treatment, radical hepatolobectomy is advocated in order to prevent recurrence followingsurgery. Pathological confirmation by frozen section and x-ray examination should be instituted during operation.
