【作者】 王永洪；

【导师】 张佳林；

【作者基本信息】 中国医科大学 ， 外科学， 2010， 硕士

【副题名】附1例报告及文献复习

【摘要】 目的探讨肝门部神经纤维瘤的诊断与治疗方法,提高对罕见的肝门部神经纤维瘤的认识。方法对我院收治的1例肝门部神经纤维瘤病人临床资料及诊治过程结合国内外文献进行回顾性临床研究分析。结果肝门部神经纤维瘤好发于中年男性,临床表现缺乏特异性,实验室检查无明显异常,术前确诊较为困难,但B超,CT, MRI等影像学检查的联合应用有助于临床诊断,尤其是MRI检查具有重要诊断价值。手术完整切除肿瘤,术后效果满意。结论肝门部神经纤维瘤极为罕见,确诊主要依据组织病理学检查及免疫组化标记,手术切除是有效治疗手段,预后良好。更多还原

【Abstract】 ObjectTo analyze the diagnosis and treatment of neurofibroma in the porta hepatis, and increase the understanding of this rare disease.MethodsThe clinical data of 1 case admitted in our hospital were analyzed retrospectively as well as domestic and foreign documents.ResultsNeurofibroma of the porta hepatis was more prevalent in middle-aged men and had no specific clinical feature. Laboratory examinations found no abnomal result. The preoperative diagnosis could be extremely difficult, but it would aid in clinical diagnosis when using B-Ultrasound, CT, MRI and other image analysis in combination, especially the use of MRI. The tumor was resected en bloc and the result after operation was satisfying.ConclusionNeurofibroma of the porta hepatis is especially rare. Its definitive diagnosis should mainly rely on histopathological and immunohistochemical findings. Complete excision is the main therapeutic method for it. The prognosis is well.更多还原