超声造影诊断继发性肝结核1例  

Secondary hepatic tuberculosis diagnosed by ultrasound contrast: a case report

作　　者：王纯[1] 李霞[1] 赵蕾[1] WANG Chun;LI Xia;ZHAO Lei(Department of Ultrasonography,Qingdao Miunicipal Hospital,Qingdao 266001,Shandong Province,China)

机构地区：[1]青岛市市立医院超声科,山东青岛266001

出　　处：《中国肝脏病杂志（电子版）》2018年第2期94-96,共3页Chinese Journal of Liver Diseases：Electronic Version

摘　　要：肝结核较罕见,因缺乏典型的临床症状及体征,临床诊断较困难。继发性肝结核较常见,肝内症状少见,因肝外症状就诊者居多,主要病理表现为肉芽肿性病变,可见干酪样坏死及郎格罕细胞。影像学检查对肝结核的诊断率较高,超声造影作为一种近年来迅速发展的诊断方法,因其方便、实时、诊断率高而在临床广泛使用。发生肝结核时,超声造影的增强模式可表现为动脉期不均匀低增强和延迟期的低增强,结合临床病史及相关检查,对于肝脏肿瘤性质的鉴别有重要的诊断价值。Hepatic tuberculosis is a relatively rare disease,as its clinical symptoms and signs are lack of typical,the clinical diagnosis is difficult.Secondary hepatic tuberculosis is relatively common,intrahepatic symptoms are rare and most are extrahepatic symptoms.The main pathological feature is granulomatous inflammation,the caseous necrosis and Langham’s cells can also be observed.Imaging examination has a high diagnosis rate of hepatic tuberculosis.In recent years,ultrasound contrast has developed rapidly.It has been widely used because of its convenience,real-time and high diagnostic rate.For hepatic tuberculosis,contrast enhancement mode of ultrasound showed low enhancement of arterial phase and delayed phase.Combined with clinical history and related examination,ultrasound contrast has important diagnostic value for the nature tumor.

关 键 词：肝结核 肉芽肿炎 超声造影 

分 类 号：R445.1[医药卫生—影像医学与核医学] R525[医药卫生—诊断学]