肝脏良性的囊性病变诊断与治疗进展
Advances in the Diagnosis and Treatment of Benign Cystic Liver Lesions
DOI: 10.12677/acm.2025.1561778, PDF,   
作者: 田 浩:新疆医科大学研究生学院,新疆 乌鲁木齐;陈伦牮*:新疆维吾尔自治区人民医院肝胆胰诊疗中心,新疆 乌鲁木齐
关键词: 肝囊肿囊型肝包虫诊断Hepatic Cyst Cystic Echinococcosis Diagnosis
摘要: 肝脏良性囊性病变是临床上常见的疾病,其诊断和治疗一直是医学研究的焦点。准确的诊断对于制定恰当的治疗方案至关重要。随着医学影像技术的进步,尤其是B超、CT和MRI的应用,肝脏良性囊性病变的诊断准确率得到了显著提升。除了传统的手术治疗,介入治疗和中医中药治疗等新方法也逐渐被广泛应用。本文旨在概述肝脏良性囊性病变的诊断与治疗进展,为临床实践提供参考。
Abstract: Benign cystic liver lesions are common clinical conditions, and their diagnosis and treatment have long been a focus of medical research. Accurate diagnosis is crucial for developing appropriate treatment plans. With advancements in medical imaging technologies, particularly the application of B-ultrasound, CT, and MRI, the diagnostic accuracy of benign cystic liver lesions has significantly improved. In addition to traditional surgical treatments, newer approaches such as interventional therapy and traditional Chinese medicine have been increasingly adopted. This article aims to outline the progress in the diagnosis and treatment of benign cystic liver lesions, providing a reference for clinical practice.
文章引用:田浩, 陈伦牮. 肝脏良性的囊性病变诊断与治疗进展[J]. 临床医学进展, 2025, 15(6): 693-698. https://doi.org/10.12677/acm.2025.1561778

参考文献

[1] McIntyre, C.A., Girshman, J., Goldman, D.A., et al. (2022) Differentiation of Mucinous Cysts and Simple Cysts of the Liver Using Preoperative Imaging. Abdominal Radiology, 47, 1333-1340. [Google Scholar] [CrossRef] [PubMed]
[2] Nakabayashi, K., Murakami, M., Hata, S., et al. (2021) Giant Hepatic Cyst: A Possible Cause of Inferior Vena Cava Syndrome. Internal Medicine, 60, 2081-2084.
[3] Shimagaki, T., Itoh, S., Toshida, K., et al. (2022) Prevention of Bile Duct Injury Using Indocyanine Green Fluorescence in Laparoscopic Liver Cyst Fenestration for Giant Liver Cyst: A Case Report. Journal of Surgical Case Reports, No. 10, rjac479.
[4] Seo, J.K., Kim, S.H., Lee, S.H., Park, J.K., Woo, S.M., Jeong, J.B., et al. (2010) Appropriate Diagnosis of Biliary Cystic Tumors: Comparison with Atypical Hepatic Simple Cysts. European Journal of Gastroenterology & Hepatology, 22, 989-996. [Google Scholar] [CrossRef] [PubMed]
[5] Regev, A., Reddy, K.R,. Berho, M., et al. (2001) Large Cystic Lesions of the Liver in Adults: A 15-Year Experience in a Tertiary Center. Journal of the American College of Surgeons, 193, 36-45. [Google Scholar] [CrossRef
[6] 黄国强, 叶谢智华, 郭亚民, 等. 青海地区终末期肝泡型包虫病的治疗现状及展望[J]. 中华临床医师杂志(电子版), 2021, 15(3): 209-212.
[7] Wen, H., Vuitton, L., Tuxun, T., Li, J., Vuitton, D.A., Zhang, W., et al. (2019) Echinococcosis: Advances in the 21st Century. Clinical Microbiology Reviews, 32, e00075-18. [Google Scholar] [CrossRef] [PubMed]
[8] 张杰, 齐宝文, 宋巍, 等. 新疆地区肝包虫病患者临床特征和诊疗模式及预后的十年回顾性分析: 一项单中心研究[J]. 中国全科医学, 2020, 23(36): 4573-4577.
[9] 张旭辉, 索朗拉姆, 邱甲军, 等. 超声影像组学在肝包虫病分型中的应用研究[J]. 临床超声医学杂志, 2024, 26(5): 353-359.
[10] WHO Informal Working Group (2003) International Classification of Ultrasound Images in Cystic Echinococcosis for Application in Clinical and Field Epidemiological Settings. Acta Tropica, 85, 253-261. [Google Scholar] [CrossRef] [PubMed]
[11] Li, J. and Wei, J. (2025) Trends in the Disease Burden of Cystic Echinococcosis in China, 1990-2044 Analysis and Forecasting Study. Scientific Reports, 15, Article No. 4812. [Google Scholar] [CrossRef] [PubMed]
[12] 王倩. 腹部超声诊断肝脏肿块的价值研究[J]. 中国现代药物应用, 2024, 18(6): 68-70
[13] 刘洋洋, 杨星星, 葛舒. 3.0T磁共振扩散加权成像结合超声造影对肝脏良恶性病变的诊断价值[J]. 肝脏, 2023, 28(11): 1310-1313.
[14] 马国祥, 严传波, 杨凌菲, 等. 基于深度学习的肝包虫病超声影像诊断方法研究[J]. 现代电子技术, 2023, 46(8): 66-72.
[15] 谢永泉. 肝脏肿块良恶性鉴别诊断中腹部超声检查的作用[J]. 吉林医学, 2023, 44(8): 2142-2144.
[16] 米吾尔依提∙海拉提, 热娜古丽∙艾合麦提尼亚孜, 卡迪力亚∙库尔班, 等. 基于深度学习的肝囊型包虫病超声图像中小病灶检测方法研究[J]. 临床超声医学杂志, 2024, 26(2): 163-170.
[17] 任艳, 宋涛, 尚丰, 等. 卷积神经网络在辅助肝细粒棘球蚴病超声分型诊断的应用[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(4): 454-460, 474.
[18] 汪蕾, 华喜梅, 胡丰芬, 陈晨. 血清甲胎蛋白联合γ-谷氨酰转移酶检测对肝脏肿瘤良恶性的鉴别诊断价值[J]. 青岛医药卫生, 2023, 55(3): 166-169.
[19] 马晓光, 王晓, 孙君儒, 等. 腹腔镜与开腹手术治疗肝囊型包虫病效果比较[J]. 中国现代普通外科进展, 2023, 26(12): 963-964.
[20] 王铮, 杨金煜, 盖志刚, 等. 根治性与保守性手术治疗肝囊型包虫病疗效对比研究[J]. 中国实用外科杂志, 2023, 43(8): 911-914, 919.
[21] 朱梦影. 1.5T磁共振增强扫描及弥散加权成像序列扫描在肝脏占位性病变中的诊断价值[J]. 影像研究与医学应用, 2023, 7(10): 101-103.