论文部分内容阅读
1.临床资料:例1,患者男性,55岁,反复右上腹胀5月余入院。乏力纳差,患“慢性乙型肝炎”,作过抗肝炎治疗,无巩膜黄染,上腹部未扪及肿块, 乙型肝炎表面抗原(+),乙型肝炎e抗原(-),乙型肝炎核心抗体(+),其IgM均为(-);术前肝功能:白蛋白39.8 g/L,总胆红素39.9 μmol/L,天冬氨酸氨基转移酶97 μmol/L,丙氨酸氨基转移酶230.8 μmol/L,γ- 谷氨酰转肽酶108.3 U/L,乳酸脱氢酶439.7 U/L,血清脂肪酶3 34.4 U/L。凝血酶原时间正常,甲胎蛋白值正常(4 ng/ml),CT发现肝右叶与胰头间软组织块影,考虑肝外生癌、肝硬化、胆囊炎。术中发现肿块位于肝十二指肠韧带内,约
1. Clinical data: Example 1, male patient, 55 years old, repeated right upper quadrant abdominal distension more than 5 months admitted to hospital. Hepatitis B virus, hepatitis B surface antigen (+), Hepatitis B e antigen (-), B Hepatic core antibody (+) had IgM of (-); preoperative liver function: 39.8 g / L albumin, 39.9 μmol / L total bilirubin, 97 μmol / L aspartate aminotransferase, Acid aminotransferase 230.8 μmol / L, γ-glutamyl transpeptidase 108.3 U / L, lactate dehydrogenase 439.7 U / L, serum lipase 3 34.4 U / L. Prothrombin time was normal, alpha-fetoprotein value was normal (4 ng / ml), CT found the right lobe of the liver and pancreatic head between the soft tissue mass, consider extrahepatic cancer, cirrhosis, cholecystitis. Intraoperative findings lumps located within the hepatoduodenal ligament, about