肝血管病变与肝硬化的关系  

Association between liver vascular lesions and liver cirrhosis

作　　者：宁会彬 尚佳[1] NING Huibin;SHANG Jia(Department of Infectious Diseases,Henan Provincial People′s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院感染科,郑州450000

出　　处：《临床肝胆病杂志》2018年第1期27-30,共4页Journal of Clinical Hepatology

摘　　要：临床上多种原因可引起肝纤维化及肝硬化,其中肝血管病变所致肝硬化进展隐匿,临床医生认识不足,诊疗技术有限,患者预后往往较差。肝血管系统结构特殊,病变部位及范围不同其临床表现及预后也不相同。如何对不同类别肝血管病变所致肝硬化进行正确的诊断和鉴别是临床中需要关注的重点和难点。归纳了门静脉病变、肝静脉病变、肝窦病变以及肝动脉病变与肝硬化的关系,从根本上认识和掌握上述病变的临床表现、病理特点及鉴别诊断要点,对肝血管病变的正确诊断和治疗具有积极意义。Many factors can cause liver fibrosis and cirrhosis in clinical practice,and liver cirrhosis caused by liver vascular lesions often has insidious progression.Due to a lack of knowledge in clinicians and limited diagnostic and treatment techniques,patients often have poor prognosis.The liver vascular system has a unique structure,and patients with different locations and extents of lesion have different clinical manifestations and outcomes.Correct diagnosis and differentiation of liver cirrhosis caused by different types of liver vascular lesions is an important and difficult issue and needs careful attention in clinical practice.This article summarizes the association of portal vein lesion,hepatic vein lesion,hepatic sinusoid lesion,and hepatic artery lesion with liver cirrhosis.A deep understanding of the clinical manifestations,pathological features,and key points in differential diagnosis of these lesions helps with correct diagnosis and treatment of such disease.

关 键 词：肝硬化 肝血管病变 诊断 鉴别 

分 类 号：R575.2[医药卫生—消化系统]