目的探讨肝结核的病理特征与临床表现、诊断和治疗的关系。方法对经手术与病理证实的肝结核患者的临床资料进行回顾分析。结果肝结核病理改变以粟粒样和结节瘤样病灶为主 ,临床表现和影像学表现多样 ,且无特异性 ,误诊误治率高。结论了解肝结核的病理特征 ,有助于理解分析肝结核的临床表现和影像学检查结果 ,有助于治疗方法的选择 ,从而降低误诊误治率。 Objective To investigate the relationship between the pathological features of liver tuberculosis and clinical manifestations, diagnosis and treatment. Methods The clinical data of liver tuberculosis confirmed by surgery and pathology were retrospectively analyzed. Results The pathological changes of liver tuberculosis were mainly miliary-like and nodular tumor-like lesions. The clinical manifestations and imaging findings were diverse and non-specific. The rate of misdiagnosis and misdiagnosis was high. Conclusion Understanding of the pathological features of liver tuberculosis can help to understand the clinical manifestations and imaging findings of liver tuberculosis, and help to choose the treatment method to reduce the misdiagnosis and misdiagnosis rate.