肝血管瘤临床、病理再评价

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目的:利用MRI无创、诊断率高的特点,大样本分析HHE的临床、病理特征。方法:1988-05~1997-03间645例诊断可靠HHE的MRI资料分析。结果:①HHE以青壮年(30~60岁)男性居多;②多发者高达39.1%;③75.9%的HHE小于2cm,大于4cm者仅7.6%;④17.2%的病例合并有其它肝占位,其中约半数为恶性肿瘤;⑤其肝内分布与肝叶大小成正比;⑥规则圆形、卵圆形仅占HHE总数的1/3左右。结论:①本病男性发病率不低;②本病是最常见的多发肝占位;③对混合性肝占位病例应予以充分重视;④本病有多中心起源倾向,部分融合成片者诊断较难;⑤不规则形HHE诊断较难,其占位征象较轻则有一定的提示诊断作用;⑥个别HHE可以较快的速度生长。 Objective: To analyze the clinical and pathological features of HHE by large samples using the features of non-invasive MRI and high diagnostic rate. Methods: MRI data analysis of 645 cases with reliable diagnosis of HHE from 1988-05 to 1997-03. Results: 1HHE was mostly young men (30-60 years old); 2 multiple-persons were as high as 39.1%; 375.9% of HHE was less than 2cm, and only 4.6% of those greater than 4cm; 417.2% of cases had Occupation of other livers, of which about half are malignant tumors; 5 its intrahepatic distribution is proportional to the size of the liver lobe; 6 regular round, ovoid only accounts for about 1/3 of the total number of HHE. Conclusion: 1 The incidence of this disease is not low in men; 2 the disease is the most common multiple liver occupying; 3 should pay full attention to the cases of mixed liver occupying; 4 the disease has a multi-center tendency, part of the integration into the film Diagnosis is more difficult; 5 irregular HHE diagnosis is more difficult, and a lighter placeholder sign has a certain diagnostic effect; 6 individual HHE can grow faster.
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