摘要
目的 探讨肝脏血管平滑肌脂肪瘤 (HAML)这一肝脏罕见的良性肿瘤的临床特点 ,总结其治疗过程中出现的问题 ,以期提高对HAML的诊断与治疗水平。方法 通过对 5例经手术及病理证实和 1例经肝穿活检证实的HAML的诊断及治疗过程的回顾性分析 ,结合文献找出HAML所具有的共同点及特异性。结果 ①在众多的辅助检查中 ,以CT平扫及增强扫描对HAML的诊断价值最大 ;②对HAML的诊断不能仅靠单一的检查来确定 ,而要结合病史及多种化验和影像学检查来确立 ;③对HAML的手术治疗应注意操作 ,避免可能发生的并发症 ;④对症状轻微的HAML病人 ,随访观察是可行的。结论 HAML作为肝脏罕见的良性肿瘤 ,只要掌握其特征 ,做出正确的诊断与处理是完全可能的。
Objective To study the clinical magnifications of hepatic angiomyolipoma (HAML), the rarest benign tumor in the liver, and summarize the problems which had been found during the treatment for improving the standards of diagnose and treatment for HAML. Methods Combining the literatures with retrospective analysis of 6 cases HAML, 5 cases had been proven by surgical pathology and the other was identified by hepatic biopsy, we found out the general and distinctive characters of HAML. Results ① For the diagnose of HAML CT dynamic scan is most valuable examination; ② Correct diagnose of HAML depend on disease history, chemical analysis and image examination; ③ We should pay attention to surgical operating in order to avoid the complication; ④ Observing is feasible for those who suffer little symptom. Conclusion If only we master the symbols of HAML, though it is very rare in the liver, it is possible to make a proper diagnose and treatment for HAML.
出处
《中华肝胆外科杂志》
CAS
CSCD
2001年第4期205-207,共3页
Chinese Journal of Hepatobiliary Surgery
