“基本正常肝组织”的病理鉴别诊断思路  

Differential pathological diagnosis of liver tissue with normal appearance

作　　者：张萌萌[1] 孟尧 赵新颜[1] ZHANG Mengmeng;MENG Yao;ZHAO Xinyan(Liver Research Center,Beijing Friendship Hospital,Capital Medical University&National Clinical Research Center for Digestive Diseases,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院肝病研究中心,国家消化系统疾病临床医学研究中心,北京100050

出　　处：《临床肝胆病杂志》2023年第3期517-522,共6页Journal of Clinical Hepatology

摘　　要：肝脏病理活检是明确肝脏疾病诊断的关键手段,对判断病情严重程度、决策治疗时机、预测疗效及预后具有重要价值。病理专家通过识别肝脏病理损伤模式判断病变性质,作为诊断及鉴别诊断依据,其中一类病理损伤模式,看似“基本正常”,实则需要细致入微地观察易被忽略的病理变化,从而减少误诊或漏诊。本文重点介绍了“基本正常”的肝组织病理诊断思路及鉴别诊断要点。Liver biopsy is a key method for clarifying the diagnosis of liver diseases and has an important value in determining disease severity, deciding treatment timing, and predicting treatment response and prognosis. By recognizing the pattern of liver pathological injury, pathologists evaluate the nature of lesions as the basis of diagnosis and differential diagnosis, and among these patterns, liver tissue with “normal appearance” requires careful observation of easily overlooked pathological changes, so as to reduce misdiagnosis or missed diagnosis. This article mainly introduces the thoughts in the pathological diagnosis of liver tissue with normal appearance and the key points in differential diagnosis.

关 键 词：肝疾病 病理学 诊断 鉴别 

分 类 号：R575[医药卫生—消化系统]