摘要
目的：探讨肝脏血管平滑肌脂肪瘤（ＨＡＭＬ）的临床及影像特征。以期通过非创伤性检查正确诊断ＨＡＭＬ。方法：分析４ 例经手术治疗证实及１ 例经肝穿活检证实为ＨＡＭＬ的病例，找出其中在病史及影像学检查方面的共同特点及特征性表现。结果：ＨＡＭＬ具有以下特点：①患者多为女性；②无乙型肝炎病史及肝硬化表现；③Ｂ超检查多认为是良性病变；④ＣＴ平扫及增强对本病的诊断有决定性的作用；⑤ＭＲＩ普通成像及增强对本病的诊断有帮助，而采用脂肪抑制技术可鉴别ＨＡＭＬ与血管瘤；⑥ＤＳＡ对本病的诊断价值不大，仅能提示肿瘤系多血供肿瘤，但有助于其它脂肪瘤鉴别。结论：ＨＡＭＬ的表现具有特征性，只要掌握其特点经过综合分析病史及非创伤性检查结果，作出正确的诊断是可行的。
Objective:To study the clinical magnifications of Hepatic Angiomyo lipoma (HAML) and the evaluate the value of non invasive examinations for proper diagnosis of HAML. Methods:4 cases HAML treated surgically and one case identified by hepatic biopsy were retrospectively analyzed. Clinical magnifications, especially characteristics of HAML obtained from history and radiographs data were viewed. Results:The magnification of HAML is following: (1) Most patients were female; (2) There were no history of hepatitis and hepatocirrhosis; (3) B ultrasonic data indicates benign mass; (4) Computed tomograms findings is crucial for proper diagnosis of HAML; (5) MRI is helpful method to differentiate between HAML and angioma; (6) DSA is not valuable except it can depict the angiogenic neoplasms and differentiate between HAML and lipomas. Conclusion:Because the magnification of HAML is characteristic, diagnosis can rest on the history and the results obtained from the non invasive examinations.
出处
《军医进修学院学报》
CAS
1999年第4期293-294,共2页
Academic Journal of Pla Postgraduate Medical School
