肝脏炎性假瘤的诊治

发布时间：2018-11-19 20:52

【摘要】：肝脏炎性假瘤是一种少见的临床症状相对较轻且不典型的肝脏良性病变，以局部慢性非特异性炎症细胞浸润和纤维结缔组织结节样增生为主要病理改变。发病机制、病因目前仍不清楚，石胆酸在肝脏炎性假瘤形成过程中可能是一个重要因素，病因可能与感染因素、免疫因素、感染免疫因素等有关。随着肝脏炎性假瘤的影像学表现不断被认识和总结，超声、CT、MRI检查对肝脏炎性假瘤的诊断提供十分重要的帮助。由于其影像学表现非特异性，与一些良恶性的肝脏疾病不易区分，往往仍需要通过病理检查才能最终确诊。肝穿刺活检能准确诊断多数肝脏炎性假瘤，对治疗具有极其重要的价值。虽然，确诊肝脏炎性假瘤后的患者多数时候应该采取保守治疗，，但在一定条件下，手术治疗仍然是不可缺少的。
[Abstract]:Hepatic inflammatory pseudotumor is a relatively mild and atypical benign liver disease with local chronic nonspecific inflammatory cell infiltration and fibrous connective tissue nodular hyperplasia as the main pathological changes. The pathogenesis and etiology of lithiasis may be an important factor in the formation of inflammatory pseudotumor of the liver, and the etiology may be related to infection factors, immune factors, infection immune factors and so on. As the imaging findings of inflammatory pseudotumor of the liver have been recognized and summarized, ultrasound and CT,MRI are very important for the diagnosis of inflammatory pseudotumor of the liver. Because of its nonspecific imaging features, it is difficult to distinguish between benign and malignant liver diseases. Liver biopsy can accurately diagnose most inflammatory pseudotumors of liver, which is of great value in treatment. Although most patients after diagnosis of inflammatory pseudotumor of the liver should take conservative treatment, surgical treatment is still indispensable under certain conditions.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R575

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