目的分析肝脾结核ＣＴ表现，以探讨其诊断和鉴别诊断要点。方法对１５例肝脾结核进行ＣＴ扫描，其中男性９例，女性６例，年龄在１８～６０岁，所有病例皆经临床诊断，其中１例经术后病理证实，２例经ＣＴ导向下穿刺活组织检查证实。结果所有肝脾结核均为多脏器结核之一，ＣＴ表现为８例肝脏和５例脾脏散在粟粒、小结节灶和小囊性灶，１例肝脏有孤立的低密度病变，１例肝脾仅散在点状钙化灶。结论肝脾结核ＣＴ常见散在粟粒、小结节和小囊性灶并合并全身多脏器结核。当ＣＴ有上述表现时，首先应考虑肝脾结核。 Objective To analyze the CT manifestations of liver and spleen tuberculosis in order to explore its diagnostic and differential diagnosis. Methods CT scan of 15 patients with hepatobiliary and splenic tuberculosis, including 9 males and 6 females, aged 18 to 60 years old, all cases were clinically diagnosed, including 1 case confirmed by postoperative pathology, 2 cases under CT-guided puncture Biopsy confirmed. Results All liver and spleen tuberculosis was one of multiple organ tuberculosis. CT showed 8 cases of liver and 5 cases of spleen scattered in miliary, small nodules and small cystic lesions, 1 case of isolated low-density lesions of the liver and 1 case of liver Spleen scattered only in the dot-like calcification. Conclusion Hepatic spleen and tuberculosis CT are commonly scattered in miliary, small nodules and small cystic lesions combined with systemic multiple organ tuberculosis. When CT has the above performance, we should first consider the liver and spleen tuberculosis.