【摘要】目的:探讨肝脏局灶性结节性增生(focal nodular hyperplasia,FNH)的临床诊断和治疗。方法:回顾性分析18例经病理组织学检查确诊的FNH的临床病理、影像学检查、外科治疗及随访资料。结果:18例FNH,影像学检查诊断率较低,其中彩超确诊率44.4%(8/18),CT66.7%(12/18),MRI 88.8%(16/18),手术切除病灶效果好,随访1年未发现复发病例。结论:目前CT和MRI是FNH诊断的重要手段,对影像检查疑为FNH又暂不同意手术探查病人可考虑定位穿刺活组织检查,但对穿刺未能定性成功及不能排除恶性肿瘤者应手术治疗。

    【关键词】肝肿瘤;局灶性结节性增生;穿刺活组织检查

    doi:10.3969/j.issn.1006-1959.2010.05.005 文章编号:1006-1959(2010)-05-1029-02

    Diagnosis and Treatment of Hepatic Focal Nodular Hyperplasia Wu Li-ran,Huang Xi-ming. Dpartment of general surgery,the People's hospital of Qijiang,Chongqing city (Qijiang 401420)

    【Abstract】Objective:To evaluate the clinical diagnosis and treatment of focal nodular hyperplasia of the liver.Methods:Retrospective analysis was made on 38 cases with surgical and pathological proved FNH. The clinical and pathological data were reviewed.Results:To 18 FNH patients, the preoperative radiography was usually not specific,the correct diagnostic rate of BUS,CT and MRI was 44.4%,66.7% and 88.8%,respectively.Surgical resection resulted in a permanent cure with no significant postoperative complications and without recurrence at one year follow-up.Conclusions:CT and MRI are important for the diagnosis of FNH.Liver biopsies and surgical resection can be performed on cases with equivocal diagnosis symptom or in fear of hepatic m alignancy. ......