目的探讨超声造影与CT对脾结核的诊断价值。方法回顾性总结分析33例术前均行超声造影和CT检查的脾结核患者影像学表现及诊断情况。结果超声造影与CT检查对病灶边缘、回声或密度的判别结果较相似,但超声造影判别粟粒样结节明显高于CT(P<0.05);超声造影、CT诊断符合率分别为78.8%和75.7%,组间比较差异无统计学意义(P>0.05)。结论超声造影检查操作简便、无辐射,是诊断脾结核的有效的影像学检查手段。 Objective To investigate the diagnostic value of contrast-enhanced ultrasound and CT in diagnosis of splenic tuberculosis. Methods The imaging findings and diagnosis of splenic tuberculosis patients were retrospectively analyzed in 33 cases who underwent contrast-enhanced ultrasound and computed tomography. Results The results of contrast-enhanced ultrasound and CT examination were similar to those of the edge, echo or density of the lesion, but the contrast-enhanced sonography confirmed that the miliary nodules were significantly higher than CT (P <0.05). The coincidence rates of CEUS and CT were 78.8% and 75.7 %, No significant difference between groups (P> 0.05). Conclusion Contrast-enhanced ultrasonography is easy to operate and has no radiation. It is an effective means of imaging diagnosis of splenic tuberculosis.