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目的:总结分析肝结核瘤的诊治经验。方法:对9例肝结核瘤患者进行回顾性分析,对其发病、临床表现、诊断以及治疗分析总结。结果:9例中4例临床作出肝结核瘤诊断。3例诊断为原发性肝癌,1例诊断为肝脏肿物,1例诊断为肝转移癌。9例均行手术切除,术后均经病理证实为肝结核瘤,误诊率55.6%。结论:肝结核瘤好发于青壮年,女性多于男性,肝区疼痛伴发热为主要症状,B超、CT多只能诊断为肝占位。B超引导下细针穿刺活检是临床诊断本病的主要方法,外科手术切除是治疗本病的有效方法。
Objective: To summarize and analyze the diagnosis and treatment of liver tuberculosis. Methods: Nine patients with hepatic tuberculosis were retrospectively analyzed, and their incidence, clinical manifestations, diagnosis and treatment were summarized. Results: Of the 9 cases, 4 had clinical diagnosis of hepatic tuberculosis. 3 cases were diagnosed as primary liver cancer, 1 case was diagnosed as liver tumor, and 1 case was diagnosed as liver metastasis. Nine patients underwent surgical resection. All patients were pathologically confirmed as liver tuberculosis with a misdiagnosis rate of 55.6%. Conclusions: Hepatic tuberculoma occurs predominantly in young adults, with more women than men. Hepatic pain and fever are the main symptoms. B-ultrasound and CT can only diagnose hepatic lesions. B-guided fine needle aspiration biopsy is the main method of clinical diagnosis of the disease, surgical resection is an effective method of treatment of the disease.