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目的探讨肝内胆管囊腺瘤的诊断与治疗方法。方法回顾性分析13例肝内胆管囊腺瘤患者临床资料。结果肝内胆管囊腺瘤主要临床症状为上腹部不适或疼痛;13例甲胎蛋白、癌胚抗原水平均正常,3例糖链抗原19-9升高;13例患者均行根治性肝切除手术,5例术前经影像学检查与术后组织病理学检查结果相符,术后组织病理结果显示肝内胆管囊腺瘤11例,肝内胆管囊腺瘤恶变2例。结论肝内胆管囊腺瘤术前确诊困难,易恶变,根治性肝切除术是其主要治疗方法。
Objective To investigate the diagnosis and treatment of intrahepatic biliary cystadenoma. Methods Retrospective analysis of 13 cases of intrahepatic biliary cystadenoma clinical data. Results The main clinical symptoms of intrahepatic cholangiocarcinoma were upper abdominal discomfort or pain. Thirteen cases of alpha-fetoprotein and carcinoembryonic antigen were normal, and three cases of glyco-antigen 19-9 were elevated. Thirteen patients underwent radical hepatectomy Surgery, 5 cases preoperative imaging and postoperative histopathological examination results, postoperative histopathological findings showed intrahepatic biliary cystadenoma in 11 cases, intrahepatic biliary cystadenoma in 2 cases. Conclusions intrahepatic biliary cystadenoma is difficult to diagnose before operation, it is easy to malignant transformation and radical hepatectomy is the main treatment method.