CAJ | 학술논문

　　目的对肝结核的临床诊断方法及治疗加以探讨。方法回顾性分析1995年1月-2009年6月间收治并经病理诊断的9例肝结核病例的临床资料。结果患者平均年龄26.5岁，术前仅2例疑为肝结核。2例行肝切取活检术，4例行肝叶或肝部分切除术，3例行脓肿切开引流，9例患者均获痊愈。结论肝结核少见，其缺乏特征性的临床表现，唯一有效的确诊方法为病理诊断，通过合理的抗结核药物治疗和外科处理可以治愈。
　　목적대간결핵적림상진단방법급치료가이탐토。방법회고성분석1995년1월-2009년6월간수치병경병리진단적9례간결핵병례적림상자료。결과환자평균년령26.5세，술전부2례의위간결핵。2례행간절취활검술，4례행간협혹간부분절제술，3례행농종절개인류，9례환자균획전유。결론간결핵소견，기결핍특정성적림상표현，유일유효적학진방법위병리진단，통과합리적항결핵약물치료화외과처리가이치유。
Aims: To explore the clinic treatment of hepatic tuberculosis. Methods: from 1995 to 2009, the clinical characteristics of hepatic tuberculosis in 9 cases proved by histopathology were retrospectively analyzed. Results: The average age of the patients was 26.5, only 2 cases were suspected of tuberculosis pre-operatively. 2 cases were diagnosed by liver biopsy, 4 cases were treated with hepatic resection, and incision and drainage of the liver abscess were performed in 3 cases, al the 9 patients were clinical y cured. Conclusions: liver tuberculosis is rare, it is difficult to diagnosis, the only precise diagnosis method is pathologic diagnosis, and it can be cured by correct treatments of combining anti-tuberculosis drugs and surgery.