摘要
目的 :探讨肝结核的B超表现、误诊原因及诊断价值。方法 :对误诊的肝结核 11例行B超检查并分析其声像图表现。结果 :根据B超表现 ,将肝结核分为弥漫性肝结核、浆膜性肝结核、脓肿性肝结核、肝结核瘤、混合性肝结核 5种类型。结论 :对肝结核认识不足 ,忽视病史及临床表现 ,不重视B超引导下肝脏穿刺是误诊的重要原因 。
Objective:To study the ultrasound manifestations,its diagnosis value and misdiagnostic causes of liver tuberculosis. Methods:11 cases of misdiagnostic patients with liver tuberculosis were examined by ultrasound and the mainfestations of liver tuberculosis were analysed. Results:The liver tuberculosis were classified into diffuse,serosal,abscess,tuberculoma and mixed according to the manisfestios of ultrasound. Conclusion:Short of knowledge of liver tuberculosis,neglectfulness of illness history and clinical manifestations and despite of liver puncture guided by ultrasound were main causes of misdiagnosis,Type B ultrasound could be a screen examination of choice at first in the patient with high risk factors of liver tuberculosis.
出处
《山东医科大学学报》
2000年第3期323-324,共2页
Acta Academiae Medicinae Shandong
关键词
肝结核
超声诊断
误诊
Tuberculosis,liver
Ultrasound examination
Misdiagnosis