肝穿刺病理检查在肝病诊断中的价值  

Value of liver biopsy in the diagnosis of liver diseases

作　　者：崔敬荣[1] 岳卫萍[1] 孙建东[1] 

机构地区：[1]山东省滨州市人民医院,256610

出　　处：《中国实用医刊》2014年第24期31-32,共2页Chinese Journal of Practical Medicine

摘　　要：目的：评价肝穿刺活组织检查在肝病诊断及治疗中的价值。方法回顾性分析滨州市人民医院2013年102例接受 B 超定位下行1 s 肝穿刺诊断并指导治疗患者的情况。结果临床与病理诊断总符合率为78.43%（80/102），慢性活动性肝炎92.00%，亚急性重症肝炎78.94%，慢性重症肝炎73.37%，急性黄疸型肝炎和肝硬化均为66.67%，慢性迁延型肝炎55.56%。结论肝穿刺活检是诊断肝功能异常病因的重要手段，对明确诊断并确立最适当的治疗方案有重要价值。Objective To evaluate the value of liver biopsy on diagnosis and treatment of liver diseases. Methods The clinical data of 102 patients who received B ultrasound guided 1 seconds（1s） of liver biopsy in the diagnosis and treatment were retrospectively analyzed. Results The clinical and pathological diagnosis coincidence rate was 78. 43%（80 / 102）,92. 00% for chronic active hepatitis, 78. 94% for subacute severe hepatitis,73. 37% for chronic severe hepatitis,66. 67% for acute icteric hepatitis,66. 67% for cirrhosis,55. 56% for chronic persistent hepatitis. Conclusions Liver biopsy is an important method to diagnose the cause of abnormal liver function,it has an important value to deter-mine the diagnosis and establish the most appropriate treatment.

关 键 词：活组织检查 肝疾病 诊断 治疗 

分 类 号：R575[医药卫生—消化系统]