After hepatitis B minor triple sun appears parenchymal slightly strong echogenic nodule, it is necessary to carry out drug antiviral treatment first, and with the biopsy results to choose whether it is necessary to carry out surgical resection. 1. Antiviral treatment: when patients with hepatitis B minor triple positive develop parenchymal slightly strong echogenic nodules, it is generally considered that localized cirrhosis of liver or fibrosis of liver tissue is possible. Therefore, timely antiviral treatment can effectively inhibit the infection process of hepatitis B virus. Anti-infection drugs can choose entecavir, tenofovir and so on. 2. Surgical treatment: For the echogenic nodules in hepatitis patients, puncture biopsy should be carried out in time to determine whether the nodules are benign lesions or malignant hyperplasia. If the results of tissue biopsy show benign cirrhosis or hyperplasia, then surgery can be performed directly resection for effective treatment, which can have a radical effect. However, if the biopsy result is malignant local tumor, it is also necessary to carry out the clearance of surrounding liver tissues during surgical resection, and try to resect all the primary lesions at one time. After the appearance of slightly strong echogenic nodules, patients with small triple yang should consult a doctor to confirm the diagnosis, and choose the appropriate treatment plan under the guidance of the doctor.