肝血管平滑肌脂肪瘤的诊断与治疗

Diagnosis and treatment of Hepatic angiomyolipoma

目的:总结我院收治的3例肝血管平滑肌脂肪瘤(HAML)的临床资料,探讨HAML的分型、诊断与外科治疗。方法:对2003年4月～2009年12月我院收治的3例HAML患者的临床表现、实验室检查、影像学检查、手术方式、病理学诊断进行回顾性分析。结果:没有临床症状或仅有右上腹部不适、饱胀感是其主要临床表现,B超、CT、MRI均可发现肝脏占位。1例于左肝,行左半肝切除;2例位于右肝,行右肝段切除;3例均经病理诊断为HAML。结论:HAML的诊断依赖于影像学及病理学诊断,手术切除是最有效的方法。

Objective： To explore the classifications,diagnoses and surgical treatments of HAML by summarizing the clinical data about 3 HAMLs in our hospital.Methods： Retrospective analyzed clinical manifestation,laboratory examination,imageology examination,operation method and pathology diagnosis of the 3 HAMLs.Results： No clinical symptom or only feeling discomfort,feeling satiety was the primary clinical symptom.Either B-type ultrasonography,CT,MRI can find hepatoncus.1 case was in left liver,which had left part hepatectomy;2 cases were in right liver,which had right part hepatectomy.All the 3 cases were diagnosed as HAML by pathology diagnosis.Conclusion： The diagnosis of HAML depends on imageology examination and pathology diagnosis,and exairesis is the most efficient method.