目的 观察脾结核在超声造影及 计算机断层扫描(CT)中的影像学表现，并 探讨两种影像学方法在脾结核中的诊断价 值。方法 回顾性分析2009年1月-2014年 3月我院门诊部收治的经手术病理证实26 例脾结核患者的临床资料，对所有病例患 者的超声造影及CT影像学表现进行分析比 较，并对两种诊断方法的应用价值进行评 估。结果 脾结核患者经超声造影检查有 低回声型、混合回声型及强回声型，超声 造影表现基本相同，无增强型为其最常见 超声造影表现；CT平扫脾脏内多发大小不 等结节状稍低密度影，边缘不清，而CT增 强扫描边缘及内部分隔明显不强化，与周 围脾脏相较呈明显低密度影，类似囊性病 灶征象及钙化灶征象是脾结核相对典型的 表现，超声造影与CT对脾结核患者诊断准 确率无显著差异(P＞0.05)。结论 超声造 影和CT对脾结核诊断均具有特异性，两种 诊断方法均值得临床推广应用。

Objective To observe the imaging findings of contrast-enhanced ultrasound and computed tomography (CT) in splenic tuberculosis, and explore the value of two imaging methods in the diagnosis of splenic tuberculosis. Methods From January 2009 to March 2014, the clinical data of 26 patients with splenic tuberculosis confirmed by surgery and pathology in outpatient department in our hospital were retrospectively analyzed. All imaging findings of contrast-enhanced ultrasound and CT were analyzed and compared, and the application value of the two diagnostic methods was evaluated. Results Contrastenhanced ultrasound showed low echo type, mixed echo type and strong echo type, and the findings were basically the same, and without enhanced type was the most common finding of contrast-enhanced ultrasound. CT scan showed multiple different sizes of nodular slightly low density in spleen, and the boundaries were not clear, while the enhanced CT scan showed that boundaries and internal separation obviously were not enhanced, and compared with surrounding spleen, there was significantly low-density shadow, similar signs of cystic lesions and calcification were relatively typical manifestations of splenic tuberculosis. There was no significant difference in accurate rate between contrast-enhanced ultrasound and CT in the diagnosis of splenic tuberculosis (P>0.05). Conclusion Both of contrast-enhanced ultrasound and CT have specificity in the diagnosis of splenic tuberculosis, and are worthy of clinical application.