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过去六年内作者遇到10例肝硬化后肝细胞假瘤,患者均为男性,年龄40～82岁(平均52.6±11.8岁)其中9例有6～25年的肝病史,7例有长期饮酒史,均无输血史。所有病例都有肝硬化的组织学改变,6例有轻度食道静脉曲张,2例合并胆束结石。术前诊断包括血清甲胎蛋白(AFP)和乙肝指标的放免测定,5例行99m锝肝扫描,所有病人均行超声检查、CT扫描和选择性血管造影。手术方式包括肝次段切除9例,另1例因多发性肝细胞癌仅切取部
In the past six years, the author encountered 10 cases of hepatocellular pseudotumor after liver cirrhosis. The patients were all male, aged 40-82 years (average 52.6±11.8 years). Among them, 9 cases had 6-25 years history of liver disease, and 7 cases had long-term drinking. History, no history of blood transfusion. All cases had histological changes of cirrhosis, 6 cases had mild esophageal varices, and 2 cases had biliary stones. Preoperative diagnosis included radioimmunoassay of serum alpha-fetoprotein (AFP) and hepatitis B markers. Five patients underwent a 99m scan of the liver. All patients underwent ultrasonography, CT scan, and selective angiography. Surgical methods included 9 cases of hepatic subsegmental resection, and the other 1 case was only cut by multiple hepatocellular carcinoma.