CT在脾结核诊断中的价值

Evaluation of CT in the diagnosis of splenic tuberculosis

目的探讨脾结核的CT征象及其诊断价值。方法回顾性分析20例脾结核的CT表现及临床资料,全部病例均经手术或活检证实。结果20例脾结核CT表现为单发或多发不被强化的低密度区;病灶多发、钙化及伴有脾外结核有助于脾结核的诊断。结论脾结核CT表现呈多样化,但有一定特征性;CT为脾结核较好的检查方法,正确诊断需全面综合分析。

Objective To study CT features of splenic tuberculosis. Methods The clinical data and CT findings in 20 cases with splenic tuberculosis, of which the diagnosis was proved by pathology after surgery or biopsy were analyzed retrospectively. Results On CT scan, splenic tuberculosis usually appears as low attenuation with unenhanced splenic lesions or masses. Multiple lesions associated with calci- fication and extra - splenic tuberculosis were important evidences to suggest tuberculosis. Conclusion CT findings of splenic tuberculosis are various but had some characteristics. CT is a feasible method in its diagnosis, comorehensive evaluation is necessary for it.