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肝脏局灶性结节性增生的临床诊治分析

Analysis on diagnosis and treatment of focal nodular hyperplasia of liver

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【作者】 张立明王人颢温泉

【Author】 ZHANG Liming WANG Renhao WEN Quan Department of Surgery,the Affiliated Hospital of Xuzhou Medical College,Xuzhou 221000,China

【机构】 徐州医学院附属医院普外科

【摘要】 目的探讨肝脏局灶结节性增生的临床特点、治疗及预后。方法对2001~2011年徐州医学院附属医院收治并经病理证实的7例FNH的临床资料进行回顾性分析。结果本组共7例患者,男2例,女5例,该病多见于中青年,40岁以下者5例,占71.4%,多无明显临床症状。HBsAg阳性者1例,占14.3%,肝功能和甲胎蛋白检查均正常。病灶多为单发,直径平均为(3.8±2.1)cm。7例均行手术切除。所有患者随访1~5年全部存活。结论 FNH是一种肝脏良性增生性病变,术前不易确诊,手术切除是有效的治疗方法,预后良好。

【Abstract】 Objective To study the clinical features,treatment and prognosis of focal nodular hyperplasia of 1iver.Methods The clinical data of 7 patients with FNH treated and confirmed by pathology diagnosis from 2001 to 2011 in the affiliated hospital of Xuzhou medical college were analyzed retrospectively.Results Among the 7 patients,2 were males,5 were females,the disease is more common in young and middle-aged people.5(71.4%)patients were below 40 years old,6 were asymptomatic.Hepatitis B was negative in 1(14.3%)of patients.Liver function and AFP are all normal.FNH occurs as a single node in 6 patients,average diameter is (3.8±2.1)cm.All the cases were performed operation and followed up for 1 year to 5 years without death.Conclusion FNH is a kind of benign proliferative lesion of the liver,but it is hard to diagnose before the operation.Surgical resection is the effective cure for treatment,the prognosis is good.

  • 【文献出处】 中国医药科学 ,China Medicine and Pharmacy , 编辑部邮箱 ,2012年03期
  • 【分类号】R735.7
  • 【被引频次】3
  • 【下载频次】37
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