肝脏少见良性占位病变的诊断与治疗

DIAGNOSIS AND TREATMENT OF UNCOMMON HEPATIC BENIGN OCCUPYING LESIONS

目的 为提高肝脏少见良性占位性病变的诊治水平。方法 分析自 1990年 1月～ 1999年 1月经病理证实的肝脏少见的原发性良性占位性病变 15例 (肝腺瘤 8例、肝炎性假性瘤 1例 ,肝炎性肉芽肿 2例 ,肝结核瘤 2例 ,肝脂肪瘤 1例、肝纤维瘤 1例 ) ,结合文献对该类肝占位病变的临床特点和诊断治疗进行探讨。结果 肝脏少见占位性病变临床表现无特异性 ,术前易误、漏诊 ,本组 15例病理检查前均误诊为肝癌。结论 B超引导下多径路肝穿刺活检及剖腹探查可确诊肝脏少见良性占位病变 。

Objective To improve the diagnosis and treatment of uncommon benignan occupying lesiong of the liver.Methods A retrospective analysis was used to study 11 patients suffering form uncommon benign tumors of the liver from january 1990 to january 1999.Results Hepatic benign occupying lesions have no specific clinical manifestations and tend to be misdiagnosed before operation.All the 11 cases in this group were misdiagnosed as hepatic cancer.Conclusions Uncommon primary benign hepatic occupying lesions can be determined by abdominal exploration and maltilocal puncture biosy by the guide of B-mode ultarsoundguidance.Surgical treatment is the best measure to treat the lesions liver.