肝脾结核的CT诊断

CT diagnosis of tuberculosis of liver and spleen

目的：探讨肝脾结核的CT表现及其诊断与鉴别诊断。方法：回顾性分析我院自2000年2月～2007年2月间经临床确诊的16例肝脾结核的临床及CT资料。结果：16例肝脾结核中：10例肝脏病变的CT表现为肝脏肿大6例,粟粒结节型6例,囊肿型3例,大结节型伴门静脉血栓形成、门静脉高压1例;11例脾脏病变的CT表现为脾肿大7例,粟粒结节型6例,囊肿型3例,纤维硬结型2例。结论：肝脾结核的CT表现尽管缺乏特征性,通过结合临床资料及其它部位的结核征象,提示肝脾结核的可能性。

Objective：To analyze the CT findings of heptospleen tuberculosis and to explore the CT value in diagnosis and differential diagnosis of hepatospleen tuberculosis. Methods： CT findings of 16 patient with heptospleen tuberculosis by the clinical antituberculosis therapy were retrospectively reviewd. Results：In all 16 cases, hepatictuberculosis were 10 cases, including hepatomegly（n = 6）, disseminated milliary and small nodules foci （n= 6）, small nodules and small saccular foci （n= 3） and macronodular hepatic lesion （n= 1） associated with portal vein thrombosis and portal hypertension; splenic tuberculosis were 11 cases, including splenomegly （n= 7）, disseminated milliary and small nodules foci （n = 6 ）, small nodules and snaall saccular foci （n = 3） and diffuse calcifications （n = 2 ）. Conclusion： CT findings of hepatospleen tuberculosis are usehtl for the diagnosis when combined with the clinical data and the discovery of tuberculosis in other part of the body.