CAJ | 학술논문

目的分析脾结核的影像学诊断价值。材料与方法 9例脾结核患者经胸部摄片、CT、超声及相关实验室检查，4例病理证实，5例抗结核治疗证实。结果 8例肺部有结核灶，9例脾肿大，7例肝肿大及腹膜后淋巴结肿大，3例脾内有多发低密度灶或回声减低区，合并左肾结核小低密度灶、结核性缩窄性心包炎各1例及颈淋巴结结核4例。结论 CT、超声检查对脾结核的诊断有价值而无特异性，需结合临床及其他部位结核或抗结核治疗有效作出诊断。
목적분석비결핵적영상학진단개치。재료여방법 9례비결핵환자경흉부섭편、CT、초성급상관실험실검사，4례병리증실，5례항결핵치료증실。결과 8례폐부유결핵조，9례비종대，7례간종대급복막후림파결종대，3례비내유다발저밀도조혹회성감저구，합병좌신결핵소저밀도조、결핵성축착성심포염각1례급경림파결결핵4례。결론 CT、초성검사대비결핵적진단유개치이무특이성，수결합림상급기타부위결핵혹항결핵치료유효작출진단。
Objective　To summarize the imaging technique for the diagnosis of splenic tuberculosis.　Materials and Methods　Chest radiograph, CT scan, ultrasound and related laboratory examination were performed in 9 patients with splenic tuberculosis, of which the diagnosis was proved with pathology in 4 and with anti-tuberculous treatment in 5. 　Results　Pulmonary tuberculosis was found in 8 patients, while megalosplenia in 9, megalohepatia and retroperitoneal lymphadenopathy in7. Multiple low-density lesions or low-echo areas were seen in 3 cases. Left renal tuberculosis or tuberculous constrictive pericarditis was each complicated in 1 case, while cervical lymphoid tuberculosis in 4 cases. 　Conclusion　Although the signs on CT and ultrasound are not specific, they are very useful for the diagnosis of splenic tuberculosis when combined with the clinical data, the discovering of tuberculous lesions in other part of the body and the results of anti-tuberculous treatment.