肝结核18例临床分析

Clinic Analysis on 18 Cases of Hepatic Tuberculosis

目的:探讨原发性肝脏实质结核的临床特征及外科治疗。方法:对我院普外科1996～2007年收治的18例原发性肝实质结核病人的临床表现、诊断、治疗进行回顾。结果:本组病人手术前均未确诊,全部经术中冰冻切片证实为结核。结论:对肝功无明显异常而CT或B超发现肝脏占位,又不能除外恶性病变或伴有并发症的患者应当手术治疗,并行营养治疗和抗痨治疗。

Objective:To study the clinical features and operative treatment for patients with substantial tuberculosis in liver. Methods:Records of 18 patients with hepatic tuberculosis were reviewed.Results:Definite diagnosis didn't be concluded preoperatively in all 18 patients until the pathological examinations were made.Conclusions:Nutritional agents and anti-tuberculosis drugs should be applied in patients with hepatic tuberculosis;surgical procedures are regarded as the other major treatment for these people,especially under the circumstance of complications and/or doubtful malignant tumor but good hepatic function.