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目的 探讨肝脏腺瘤样增生 (AH)的诊断和治疗。方法 对我院近 10年经手术治疗的 14例临床资料进行回顾性分析。均行肝脏手术治疗 ,其中行肝局部切除术 9例 ;同时行断流手术 4例。结果 HBsAg或抗HCVAb阳性 10例。AFP升高3例 ,其中合并肝癌 1例。B超、CT、与MRI检查分别为 14例、6例、与 11例。除 2例合并肝癌以外 ,剩余AH行B超、CT与MRI误诊肝癌及怀疑肝癌分别为 9/ 12、3/ 6与 9/ 9。 14例AH与合并肝癌 3例均经手术和病理确诊。AH与肝癌并存 2例 ,另1例为肝癌切除术后 8个月并发AH。术后合并膈下脓肿 1例 ,围手术期死亡 3例。结论 AH为癌前病变。如不能除外癌变 ,应早期采取积极与适合的手术切除等治疗。
Objective To investigate the diagnosis and treatment of hepatic adenoid hyperplasia (AH). Methods The clinical data of 14 cases treated by surgery in our hospital for nearly 10 years were retrospectively analyzed. All underwent liver surgery, including partial hepatectomy in 9 cases; simultaneous disconnection in 4 cases. Results HBsAg or anti-HCVAb positive in 10 cases. AFP increased in 3 cases, of which 1 case of liver cancer. B ultrasound, CT, and MRI were 14 cases, 6 cases, and 11 cases. Except for 2 cases of combined liver cancer, the remaining AH line B ultrasound, CT and MRI misdiagnosed liver cancer and suspected liver cancer were 9/12, 3/6 and 9/9, respectively. 14 cases of AH and 3 cases of liver cancer were confirmed by surgery and pathology. AH and liver cancer coexist in 2 cases, and the other 1 case of hepatectomy 8 months after the concurrent AH. Postoperative subdiaphragmatic abscess in 1 case, 3 cases of perioperative death. Conclusion AH is a precancerous lesion. If you can not except cancer, should be taken early and appropriate surgical resection and other treatment.