8例肝脏炎性假瘤临床分析

8 example liver inflammatory vacation lump clinical analysis.

目的 提高对肝脏炎性假瘤的认识和诊断水平。方法 报告8例肝脏炎性假瘤的诊治情况，结合文献就其病因及诊治问题进行探讨。结果 本病术前诊断困难，易与原发性肝癌相混淆。本组误诊7例，只有1例经肝穿确诊；手术治疗7例，行左外叶切除1例，右肝第V段切除1例，局部切除5例；保守治疗1例，均治愈，随访1～13年，无复发。结论 本病少见，病因尚不清楚，可能与细菌感染、免疫反应及真菌感染有关。BUS及CT检查是发现肝脏肿块的重要手段，但诊断需要依靠肝穿活检或术中及术后病理检查；治疗应以手术治疗为主，如已经病理确诊，可行保守治疗。

Objective To improve the diagnosis and treatment for inflammatory pseudotumor of liver（IPL）. Methods The clinical data of 7 cases IPL were retrospectively analyzed, and the diagnosis and treatment were discussed. Results Only 1 patient was correctly diagnosed by liver biopsy as IPL and cured by non -operative management,while 7 were misdiagnosed, 1 case underwent lateral lobectomy; 1 case underwent right posterior lobectomy ;5cases underwent partial hepatectomy respectively. All patients were cured without recurrence on following -up for 1 - 13 years. Conclusion Hepatic inflammatory pseudotumor is an uncommon disease, and its cause is still unclear. It maybe associated with bacte- rial infection, irmnunoreaction and mycetic infection, etc. Always be confused with primary liver cancer hepatic inflammatory pseudotumor is diffi- cult to be diagnosed preoperatively. Although B - mode ultrasongraphy and CT are of great value in finding liver masses, percutaneous liver biopsy or pathological examination is always needed to confirm diagnosis （and avoid unnecessary peration）. Resection is the preferential treatment, except that those patients confirmed by pathology may be treated conservatively.