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本文通过对经手术和病理证实的8例肝脏炎性假瘤超声表现的分析,认为肝脏炎性假瘤的声像图征象是非特异性的,仅凭声像图鉴别原发性肝癌和炎性假瘤十分困难。提高术前诊断肝脏炎性假瘤的准确性,必须紧密结合临床。对年龄较轻、临床过程较长、症状少、甲胎蛋白阴性,无肝病背景的肝内单发不均质肿块,应高度怀疑为炎性假瘤。结合病史及其他检查,并在保守治疗的同时进行短期随访,观察肿块大小变化,必要时在超声引导下穿刺活检、可避免某些不必要的手术。
In this paper, we analyzed the ultrasonographic findings of 8 cases of hepatic inflammatory pseudotumor confirmed by operation and pathology. We found that the sonographic features of hepatic inflammatory pseudotumor are nonspecific, and the images of primary liver cancer and inflammatory Pseudotumor is very difficult. To improve the accuracy of preoperative diagnosis of inflammatory pseudotumor liver, must be closely integrated with clinical. On the younger, longer clinical course, symptoms, alpha-fetoprotein-negative, non-liver disease within the background heterogeneous lump heterogeneous mass, should be highly suspected inflammatory pseudotumor. Combined with medical history and other tests, and short-term follow-up in the conservative treatment, observation of tumor size changes, if necessary, under the guidance of ultrasound biopsy, to avoid some unnecessary surgery.