目的：探讨原发性肝肉瘤的ＣＴ诊断价值。方法：经手术病理证实的６例原发性肝肉瘤作ＣＴ平扫和增强扫描，其中血管肉瘤２例，非血管源性肿瘤４例。结果：血管肉瘤的ＣＴ特征是多发、病灶增强明显和钙化；而非血管源性肉瘤特点为单发、较大、边界欠清的分叶状混合密度肿块伴有坏死囊变。结论：典型的ＣＴ表现结合临床可提示原发性肝肉瘤诊断，确诊需靠活检。 Objective: To investigate the diagnostic value of CT in primary hepatic sarcoma. Methods: Six cases of primary hepatic sarcoma confirmed by operation and pathology underwent plain and enhanced CT scans, including 2 cases of angiosarcoma and 4 cases of non-angiogenic tumor. RESULTS: CT features of angiosarcoma were multiple, and lesions were significantly enhanced and calcified. Non-angiogenic sarcomas were characterized by a single, large, marginal lobulated mixed-density mass with necrotic cystic changes. Conclusion: The typical CT manifestation combined with clinical diagnosis may suggest the diagnosis of primary hepatic sarcoma. The diagnosis must be based on biopsy.