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目的分析肝脾结核CT表现,以探讨其诊断和鉴别诊断要点。方法对15例肝脾结核进行CT扫描,其中男性9例,女性6例,年龄在18~60岁,所有病例皆经临床诊断,其中1例经术后病理证实,2例经CT导向下穿刺活组织检查证实。结果所有肝脾结核均为多脏器结核之一,CT表现为8例肝脏和5例脾脏散在粟粒、小结节灶和小囊性灶,1例肝脏有孤立的低密度病变,1例肝脾仅散在点状钙化灶。结论肝脾结核CT常见散在粟粒、小结节和小囊性灶并合并全身多脏器结核。当CT有上述表现时,首先应考虑肝脾结核。
Objective To analyze the CT manifestations of liver and spleen tuberculosis in order to explore its diagnostic and differential diagnosis. Methods CT scan of 15 patients with hepatobiliary and splenic tuberculosis, including 9 males and 6 females, aged 18 to 60 years old, all cases were clinically diagnosed, including 1 case confirmed by postoperative pathology, 2 cases under CT-guided puncture Biopsy confirmed. Results All liver and spleen tuberculosis was one of multiple organ tuberculosis. CT showed 8 cases of liver and 5 cases of spleen scattered in miliary, small nodules and small cystic lesions, 1 case of isolated low-density lesions of the liver and 1 case of liver Spleen scattered only in the dot-like calcification. Conclusion Hepatic spleen and tuberculosis CT are commonly scattered in miliary, small nodules and small cystic lesions combined with systemic multiple organ tuberculosis. When CT has the above performance, we should first consider the liver and spleen tuberculosis.