肝胆管囊腺瘤9例诊治体会并文献复习.pdfVIP

临床论著 2015年第3卷第2期《临床普外科电子杂志》 肝胆管囊腺瘤 9 例诊治体会并文献复习 江志杰 尹昌生 胡寒竹 （山东省即墨市人民医院肝胆外科，山东 青岛 266200 ） 摘要：目的 探讨肝胆管囊腺瘤的诊断及治疗方法，从而提高对本病的认识。方法 总结我院 2004 年1 月至2015 年2 月收治的9 例病理诊断为肝内胆管囊腺瘤的临床表现、影像学特点、外科 手术治疗情况及术后病理结果，回顾性分析各诊断及治疗情况。结果 7 例肝脏囊腺瘤患者均为女性， 年龄分布在42~76 岁之间，平均62 岁，影像学肿瘤病灶7 例位于肝左叶，为囊实性。9 例病变均施 行手术完整切除，术后病理诊断为肝内胆管囊腺瘤。5 例随访2 年，未见复发、恶变。结论 肝脏囊 腺瘤多好发于中年女性，临床表现不典型，术前易误诊，PTC 胆道造影结合CT 及MRI 检查有助于 明确诊断，治疗上首选手术治疗，准确病变定位是手术切除的关键，推荐病变肝叶或肝段的完整切除。 关键词：胆管囊腺瘤；PTC 胆道造影；病变定位；肝切除 【中图分类号】R6 1 【文献标识码】A The experience of diagnosis and treatment of 9 cases of hepatobiliary cystadenoma and literature review JIANG Zhi-jie,YIN Chang-sheng, HU Han-zhu (Department of Hepatobiliary Surgery, Jimo Peoples Hospital, Qingdao, Shandong, 266200) Abstract: Objective To explore the clinical diagnosis and treatment of hepatobiliary cystadenoma (HBC) and to raise awareness of the disease. Methods Clinical data including clinical manifestation, imaging feature, operative measure and pathological character on 9 HBC patients from January 2004 to February 2015 were retrospectively analyzed. Results All patients with hepatobiliary cystadenoma were all female with an average age of 62 years (42~76 years). Images showed that the lesion of hepatobiliary cystadenoma was cystic with solid lesion for 7 cases. The lesion located in the left lobe of the liver. All patients were confirmed hepatobiliary cystadenoma by pathology after operation. Five cases had no recurrence in two years after operation. Conclusion It is often misdiagnosed as other hepatic lesion. PTC cholangiography combined with CT and MRI examinations are necessary for correct diagnosis. Accurate lesion location is important to the evaluation before operation. Comple