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为了探讨肝血管平滑肌脂肪瘤(HAML)的诊断和治疗方法,对经病理确诊的23例HAML的临床资料进行回顾性分析。23例患者中无特异症状16例,右上腹不适7例。肝功能无异常,AFP均为阴性。术前影像学诊断准确率21.7%。23例患者均接受手术治疗,1例死于术后心功能衰竭,其余22例随访无复发。初步研究结果提示,HAML的术前诊断困难,肿瘤内脂肪成分为脂瘤型HAML的特征性表现。手术切除是主要治疗方式。
To investigate the diagnosis and treatment of hepatic angiomyolipoma (HAML), the clinical data of 23 HAML confirmed by pathology were analyzed retrospectively. Twenty-four patients had no specific symptoms and 7 patients had right upper quadrant discomfort. No abnormal liver function, AFP were negative. Preoperative imaging diagnostic accuracy rate of 21.7%. Twenty-three patients underwent surgery, one died of postoperative heart failure, and the remaining 22 patients had no recurrence. Preliminary results suggest that HAML is difficult to diagnose before surgery, and the intra-tumor fat component is characteristic of HAML. Surgical resection is the main treatment.