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孤立性肝门部淋巴结结核一例报道
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作者 依布拉音·艾尼 蒋铁民 +2 位作者 冉博 郭强 温浩 《中华普通外科学文献(电子版)》 CAS 2023年第2期141-142,共2页
患者女,27岁,因“检查发现肝占位性病变10 d”于2022年1月10日入院。入院10 d前因腹部疼痛在当地医院检查,腹部CT发现肝尾状叶占位性病变,经本院远程会诊后转院。否认既往传染病史。入院生命体征、体格检查、实验室检查和胸部CT均未见... 患者女,27岁,因“检查发现肝占位性病变10 d”于2022年1月10日入院。入院10 d前因腹部疼痛在当地医院检查,腹部CT发现肝尾状叶占位性病变,经本院远程会诊后转院。否认既往传染病史。入院生命体征、体格检查、实验室检查和胸部CT均未见明显异常。腹部CTA(图1,2)示:肝门区一软组织密度灶,大小约3.5 cm×3.0 cm,边界欠清,增强扫描后呈不均匀强化,内部似可见分隔,考虑感染性病变结核较肿瘤性病变可能性大。肝脏超声造影(图3)示:肝门区多个不规则低回声,融合成团,界清不规整,内回声不均匀,造影见病灶边缘增强,中央见多个无增强区,呈蜂窝状并相互连通,考虑倾向于良性,淋巴结结核可能。T-SPOT检查呈阳性。PET-CT检查示:肝门部高代谢占位,延迟后代谢略增高,多考虑感染性病变,建议病理除外恶性肿瘤。 展开更多
关键词 淋巴结结核 医院检查 腹部疼痛 肝占位性病变 肝门部 传染病史 病灶边缘 高代谢
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Feasibility of surgical application of the ligamentum teres hepatis:a review
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作者 yibulayin aini Tiemin Jiang Hao Wen 《iLIVER》 2023年第1期50-55,共6页
Ligamentum teres hepatis(LTH),a normal anatomical tissue in the liver,is frequently observed during abdominal surgery.Its unique positional and structural characteristics give it a wide range of potential clinical app... Ligamentum teres hepatis(LTH),a normal anatomical tissue in the liver,is frequently observed during abdominal surgery.Its unique positional and structural characteristics give it a wide range of potential clinical applications,including but not limited to repairing peptic perforation,preventing hemorrhage,treating hiatal hernia,and strengthening the biliary/pancreatic intestine anastomosis to prevent biliary and pancreatic leak.The current review summarizes kinds of methods of using LTH in abdominal surgery,especially some new clinical applications in recent years,involving various organs and fields.At the same time,domestic and foreign literature and research in the past five years are cited to demonstrate the feasibility of these applications.This review may guide surgeons to think and explore more new applications of LTH in all surgery fields. 展开更多
关键词 Ligamentum teres hepatis LEAKAGE Ulcer perforation RECONSTRUCTION REPAIR
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