关键词: 肝脏结核, 诊断, 病理

Abstract: Objective To summarize the clinical characteristics, examinations and diagnosis of hepatic tuberculosis. Methods The clinical data of patients with hepatic tuberculosis treated in our hospital from January 2000 to January 2020 were retrospectively analyzed. Results Among the 30 patients with hepatic tuberculosis, there were 24 cases with fever, 19 cases with obscure pain in the right upper abdomen, 21 cases with abdominal distension, and 22 cases with weight loss of 3-7 kg. Laboratory examinations showed 17 cases with anemia, 9 cases with decreased leukocyte, 11 cases with increased leukocyte, 20 cases with increased erythrocyte sedimentation, 14 cases with increased adenosine deaminase and 11 cases with increased lactate dehydrogenase. There were 18 T cell spot test positive cases and 13 purified protein derivative skin test positive cases. Liver function test indicated that all patients had different degrees of liver dysfunction. Imaging examinations showed various types of intrahepatic lesions. In the 30 patients, there were 23 cases pathologically diagnosed by ultrasound-guided liver biopsy, and 2 cases pathologically diagnosed by surgery. Conclusion Hepatic tuberculosis has diverse clinical manifestations, with lack of specific diagnostic laboratory indicators. Therefore, its diagnosis needs comprehensive analysis. Imaging combined with liver histopathological examination is the main method to diagnose hepatic tuberculosis.

Key words: Hepatic tuberculosis, Diagnosis, Pathological