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目的 为提高对肝脏血管平滑肌脂肪瘤 (angiomyolipoma ,AML)的认识 ,作出正确诊断和治疗。方法 回顾分析 8例肝AML的临床表现、影像学表现、病理学检查及外科治疗。结果 8例中术前做出正确诊断者仅 1例 ,其中 4例误诊为恶性肿瘤 ,8例均获得手术切除 ,术后恢复良好。结论 肝AML有其临床特点 ,CT或MRI亦具特异性。目前AML在术前常难做出正确诊断 ,与发病少、缺乏认识及影像学表现多样性有关。该病手术治疗效果好。
Objective To improve the understanding of hepatic angiomyolipoma (AML) and make a correct diagnosis and treatment. Methods Retrospective analysis of 8 cases of liver AML clinical manifestations, imaging findings, pathological examination and surgical treatment. Results Among the 8 cases, only 1 case was correctly diagnosed before surgery. Among them, 4 cases were misdiagnosed as malignant tumors. All 8 cases were surgically removed and recovered well after surgery. Conclusion Liver AML has its clinical features, and CT or MRI is also specific. At present, AML is often difficult to make a correct diagnosis before surgery, and it is related to less morbidity, lack of awareness, and diversity of imaging findings. The disease has good surgical treatment.