现代化诊断技术发展中肝活检的价值  

The Value of Hepatic Biopsy in Modern Diagnostic Technics

作　　者：易淑倩[1] 陈丽英[1] 赵英恒[1] 马秀棣 罗欣鸣[2] 叶正中[3] 

机构地区：[1]广州医学院第二附属医院消化内科 [2]广州医学院第二附属医院病理科 [3]广州医学院电镜室

出　　处：《广州医学院学报》1990年第4期44-47,共4页Academic Journal of Guangzhou Medical College

摘　　要：本文报告了50例肝病活检后同步进行显微(50例)与超微(30例)结构观察的结果,确诊为17种肝病。临床、光、电镜的确诊率分别为54%、96%及26.6%。光、电镜诊断符合率40%。临床与组织学诊断的符合率为54%,不或不完全符合者34%,待查经活检后确诊者12%。其中纠正临床诊断者8例(16%),补充临床诊断者9例(18%)。如确诊了罕见的 Wegner 肉芽肿、粘多糖沉积病,纠正了多种影像诊断技术尚且误诊了的错陶瘤,海棉状血管瘤,肝内局灶性结节性增生等。充分地说明了在现代化诊断技术迅速发展的今天,组织学诊断仍具有不可取代的价值。This is a report of 50 cases of hepatic biopsy.They were diagnosed as 17 kinds of diseases by observing the fine structure(50 cases)and ultrastructure (30 cases).The clinical microscopic and ultramicroscopic diagnosis rates were 54%,93% and 26.6% separately,of them 40% could be diagnosed by micro- scopy and electron microscopy.Historical diagnosis agreed with cliniacl one in 54%.The two didn't agree or partly agreed in 34%.There were 6 cases confirmed the diagnosis by biopsy.And 8 clinical diagnoses were corrected and 9 completed.We discovered some rare disorders,such as mucopolysacchridosis, Wegner's granulomatosis and eorrected the misdiagnosis of cavernous hemangio- ma,focal nodular Proliferation in hepar,hamatoma and so on,made by many kinds of tomography.There-forethe histological diagnosis is still important today in the rapid development of modern diagnostic technology.

关 键 词：肝脏活检 光学显微镜 电子显微镜 

分 类 号：R[医药卫生]