【摘要】 目的探讨肝内胆管囊腺瘤的临床表现、诊断和治疗方法。方法回顾性分析2004年1月至2013年12月期间笔者所在医院诊治的12例肝内胆管囊腺瘤患者的临床资料。结果女10例,男2例;平均年龄49.0岁(16~77岁);病程为1个月~3年,平均病程7个月。临床表现为右上腹饱胀感伴隐痛6例、右上腹肿块1例、黄疸1例,无症状体检发现4例。增强CT检查示肿瘤包膜完整、内有分隔者11例,分隔之间密度不一致;增强后内容物无强化,但囊壁及分隔可见轻度强化者9例。12例均行手术治疗,并完整切除肿瘤。仅有1例腺瘤恶变者于术后2年复发,另11例均无复发。结论肝内胆管囊腺瘤好发于中年女性,主要临床症状为上腹饱胀感伴隐痛、右上腹肿块、黄疸等;增强CT是其主要的术前诊断方法。手术完整切除肿物是最佳的治疗方案,可以有效防止其复发。更多还原

【Abstract】 Objective To evaluate the clinical manifestation, diagnosis, and treatment of intrahepatic biliary cystadenoma(IBCA). Methods The clinical date of 12 patients with IBCA from January 2004 to December 2013 in our hospital were retrospectively analyzed. Results Of the total 10 patients were female and 2 were male. The average age was 49.0 years old(16-77 49.0 years old). The course of disease were 1 month-3years(average:7 months). The clinical symptoms were right upper abdominal fullness with a sense of pain in 6 patients, right upper abdominal mass in 1 case, jaundice in 1 case, and no symptoms in 4 cases. Enhanced CT examination showed that the tumor complete capsule and there were internal septations in 11 cases, the density of internal septations was different. There was mild enhancement of cyst wall and internal septations in 9 cases. All of 12 cases received surgical resection. Only 1 case showed recurrence in 2 years after operation, the remaining 11 patients had no recurrence. Conclusions IBCA often occurs in middleaged women. The main clinical symptoms are abdominal fullness with a sense of pain, right upper abdominal mass or jaundice. Enhanced CT is the main method of diagnosis before operation. Radical resection of IBCA is the best treatment, and can prevent recurrence effectively.更多还原