慢性病毒性肝炎临床分型与病理分型的对比分析  

Contrast analysis of clinical typing and pathological typing of chronic virus hepatitis

作　　者：许德军[1] 王国玉[1] 赵根成[1] 李文[1] 田芳 李芳[1] 郝爱琴[1] 

机构地区：[1]河南省安阳市第五人民医院

出　　处：《胃肠病学和肝病学杂志》1999年第2期129-131,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨慢性病毒性肝炎临床分型与病理分型的关系。方法按照“９５方案”就我院１９９３～１９９８年５月经肝穿活检病理确诊的５４６例慢性病毒性肝炎患者，将其临床分型与病理分型及分型诊断标准进行了对比分析。结果本组资料表明按“９５方案”慢性肝炎临床诊断与病理诊断总符合率为８２７８％，轻度、重度与病理符合率分别为９３５４％、９４４４％；中度慢性肝炎符合率仅４０％。慢性肝炎中度与重度ＳＢ、Ａ的比较无统计学意义（Ｐ均＞００５），而ＰＴＡ的比较两组有显著性差异（Ｐ＜００１），ＰＴＡ是判断慢性肝炎病轻重的敏感而可靠的指标。结论“９５方案”比较科学和客观的反映了慢性肝炎的临床诊断标准，但部分诊断标准有待进一步探讨。Aim To study the relationship between clinical typing and pathological typing of chronic virus hepatitis. Method According to scheme 95,546 cases of chronic virus hepatitis were comparatively analyzed between clinical typing and pathological typing, all cases were diagnosed by liver needle biopsy in our hospital from 1993 to May,1998. Result according to scheme 95,the coincidental rate between clinical diagnosis and pathological diagnosis of chronic hepatitis is 82.78%.The coincidental rate of mild hepatitis is 93.54%,severe hepatitis is 94.44%,and moderate hepatitis is only 40%.The SBA between moderate hepatitis and severe hepatitis is no statistical significance(P>0.05),but PTA between moderate and severe hepatitis is significantly difference(P<0.01).PTA is sensitive and reliable to decide the severity of chronic hepatitis. Conclusion the clinical diagnosis criteria in scheme 95 is scientific and objective,but some diagnosis criteria can be further discussed.

关 键 词：慢性肝炎 分型 临床 病理 诊断 

分 类 号：R512.604[医药卫生—内科学]