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目的分析肝脏良性肿瘤的临床诊断、治疗及治疗效果。方法对川北医学院附属医院2008年2月至2011年2月期间收治并经术后病理学检查证实为肝脏良性肿瘤的156例患者的临床资料进行回顾性分析。结果 156例患者中肝血管瘤119例,肝细胞腺瘤13例,肝内胆管囊腺瘤3例,肝局灶结节性增生9例,肝淋巴管瘤4例,肝血管平滑肌脂肪瘤3例,肝炎性假瘤5例。3例肝局灶结节性增生患者行保守治疗,随访1年,其肿瘤大小和肝功能均无明显变化;余153例患者行手术治疗,全部切除了病灶,病灶切除率为100%,术后随访6～48个月,平均24个月,均无死亡及复发。结论肝脏良性肿瘤的症状不典型,缺乏特异性表现,易误诊,应完善超声、CT及MRI检查,并结合病史进行综合分析。对于具有临床症状、肿瘤体积较大(肿瘤直径>5 cm)的肝脏良性肿瘤患者,应积极行手术治疗,术后密切随访。
Objective To analyze the clinical diagnosis, treatment and therapeutic effects of benign liver tumors. Methods The clinical data of 156 patients admitted to the Affiliated Hospital of North Sichuan Medical University from February 2008 to February 2011 and confirmed by postoperative pathological examination as benign liver tumors were analyzed retrospectively. Results Among the 156 patients, 119 had hepatic hemangiomas, 13 hepatocytic adenomas, 3 intrahepatic bile duct cystadenomas, 9 hepatic focal nodular hyperplasias, 4 hepatic lymphangiomas, 3 hepatic angiomyolipomas 3 Cases, 5 cases of hepatitis pseudotumor. Three patients with hepatic focal nodular hyperplasia underwent conservative treatment. After one year of follow-up, no significant changes in tumor size and liver function were observed. More than 153 patients underwent surgical treatment and all lesions were resected. The resection rate was 100%. After follow-up of 6 to 48 months, an average of 24 months, no deaths and recurrences. Conclusion The symptoms of benign liver tumors are not typical, lack of specific performance, and are often misdiagnosed. Therefore, ultrasound, CT and MRI examinations should be completed, and a comprehensive analysis should be performed based on the history. For patients with benign liver tumors with clinical symptoms and large tumor volumes (>5 cm tumor diameter), surgical treatment should be actively performed and follow-up followed closely.