肝活检对82例肝病诊断的临床价值  

CLINICAL EVALUTION ON LIVER BIOPSY IN DIAGNOSING CHRONIC LIVER DISEASES

作　　者：唐芙爱[1] 张苏合[1] 张亚琳[1] 段芳龄[1] 

机构地区：[1]河南医科大学第二附属医院内科,郑州450003

出　　处：《胃肠病学和肝病学杂志》1993年第1期60-62,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：本文对82例肝病患者做肝活检,并以病理诊断与临床诊断进行对比。结果临床与病理诊断符合者49例,占59.8％,不符合33例占40.2％。其中肝硬化患者临床与病理诊断符合率69.7％。慢性活动性肝炎诊断符合率60％,慢性迁延性肝炎符合率66.7％,肝脓疡及亚急性重症肝炎符合率50％。慢性无症状乙肝病毒携带者8例,病理确诊为慢性迁延性肝炎5例,慢性活动性肝炎1例,肝轻微病变2例。以上资料表明,对肝病患者做肝活检是非常必要的,既可明确诊断,又可早期预防和治疗。82 patients with liver diseases were performed the liver biopsy and compared pathological diagnosis with clinical diagnosis. The results demonstrated that the coincidence rate between clinical and pathological diagnosis was 59. 8%(49/82),no coincidence rate was 40. 2%(33/82). All of the above patients,the coincidence rate between clinical and pathological dignosis in cirrhosis,chronic active hepatitis, chronic persistent hepatitis, liver abseces and subacute severe hepatitis was 69. 7%, 60%, 66. 7%, and 50% respectively. In 8 cases with chronic asymptom HBV carriers, there were pathologically diagnosed chronic persistent hepatitis 5 cases, chronic active hepatitis 1 case, hepatic slight pathological changes 2 cases. It suggested that liver biopsy was necessary to liver disease, It could be used in diagnosis,early prevention and treatment.

关 键 词：肝活检 慢性肝病 

分 类 号：R575.04[医药卫生—消化系统]