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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 ,对有肝结核高危因素的患者可将B超作为首选的筛选方法
Objective: To investigate the B-ultrasound manifestations, misdiagnosis causes and diagnostic value of liver tuberculosis. Methods: 11 cases of misdiagnosed hepatic tuberculosis were examined by ultrasound and analyzed by sonography. Results: According to the B-ultrasound, the liver tuberculosis was divided into diffuse liver tuberculosis, serosal liver tuberculosis, abscess liver tuberculosis, liver tuberculosis, mixed liver tuberculosis 5 types. Conclusion: The lack of knowledge of liver tuberculosis, ignoring the history and clinical manifestations, do not pay attention to the B-guided liver biopsy is an important reason for misdiagnosis, high risk factors for patients with liver tuberculosis can B as the preferred screening method