论早期不典型肝脓肿的 CT 诊断及鉴别诊断

目的：探讨早期不典型肝脓肿的CT特征、表现及鉴别诊断。方法：回顾分析临床病理证实的10例不典型肝脓肿的CT资料，右上腹疼痛3例，发热2例、呕吐1例，乏力1例，白细胞计数升高5例，肝功能异常2例，病灶以外均无异常。结果：不典型肝脓肿具有特殊性，如能采用CT扫描可以明显地显示出肝脓肿的部位，密切结合病史、临床、化验，有助于早期肝脓肿的鉴别和诊断。结论：不典型肝脓肿与肝癌、血瘤相比具有特殊性，采用CT扫描后明显地显示出病灶位置，为临床治疗不典型肝脓肿提供有力依据。

The CT Diagnosis and Differential Diagnosis of Early Dtypical Liver Absces

Objective： To investigate the early atypical CT features of hepatic abscess, performance and differential diagnosis. Method： Retrospective analysis of CT data of 10 cases of atypical hepatic abscess confirmed by clinical pathology was done, there were 3 cases of right upper quadrant pain, fever 2 cases, one case of vomiting, fatigue and one case, white blood cell count increased five cases, two cases of abnormal liver function, the lesions showed no abnormality outside. Result： Atypical hepatic abscess was unique, if they can used CT scans, which could clearly showed the site of liver abscess, closely combined with the history, clinical, laboratory, to the early identification and diagnosis of liver abscess. Conclusion： Atypical liver abscess and liver cancer, blood tumor, compared with particularity, the use of CT scan show significant lesion location, combine with the diagnostic methods for the clinical treatment of atypical hepatic abscess provide a strong basis.