891例肝脏钙化灶临床分析

目的 了解肝脏钙化灶分布特征及临床意义。方法 分析891例肝脏钙化灶B超及随访资料。结果 全组中827例系偶然体检检出(92．82％)，164例长期误诊为肝内结石，69例并存乙型病毒性肝炎和(或)慢性胃炎、胆囊结石，血管瘤等疾病。钙化灶以20～50岁年龄组病例分布最多；右肝分布显著多于左肝，全肝分布最少；单发病灶显著多于多发病灶；男、女性病灶多少、分布部位无明显差别。结论 肝脏钙化灶本身无临床症状，检出时应注意与肝内结石鉴别，并避免漏诊并存疾病。

Liver calcification:a report of 891 cases

Objective To investigate the features of distribution of liver calcification to explore its clinical significance. Methods The data of B-mode ultrasonography and follow-up study in 891 patients with liver calcification were retrospectively analyzed. Results Of the 891 cases, 827 were found by accident, 164 mistaken as hepatolithiasis for a long time, 69 had viral hepatitis B and/or chronic gastritis, gallstone, hemangioma, etc. Most of the patients with the disease were in the age group of 20-50 yr. The number of patients with distribution of the calcification foci in the right lobe was significantly higher than that in those with the foci in the left lobe. Only few patients were with full-liver distribution. Meanwhile, the number of patients with single focus was markedly higher than that of those with multiple foci. The focal distribution was not correlated to sexes and locations. Conclusions The liver calcification itself has no clinical symptoms and it should be carefully distinguished from hepatolithiasis. Furthermore, other simultaneously existing diseases should not be missed.