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| 129例隐证型慢性乙型肝炎患者肝组织病理及病毒学分析 | |
| 引用本文： | 张晓刚,吕志平,钟小兰,谭秦湘,贺松其. 129例隐证型慢性乙型肝炎患者肝组织病理及病毒学分析[J]. 上海中医药杂志, 2006, 40(2): 19-20 |
| 作者姓名： | 张晓刚 吕志平 钟小兰 谭秦湘 贺松其 |
| 作者单位： | 南方医科大学中医药学院,广东,广州,510515;南方医科大学中医药学院,广东,广州,510515;南方医科大学中医药学院,广东,广州,510515;南方医科大学中医药学院,广东,广州,510515;南方医科大学中医药学院,广东,广州,510515 |
| 摘 要： | 目的了解隐证型慢性乙型肝炎患者肝组织病理及病毒学特点。方法选取隐证型慢性乙型肝炎患者129例进行肝组织活检,并参照肝组织炎症活动度分级(Grading,G,G0～G4)和纤维化程度分期(Staging,S,S0～S4),同时检测血清生化指标、血清HBV-DNA定量、HBVM。结果129例隐证型慢性乙型肝炎患者肝组织炎症分级:G0 0例,G1 22例(17.05%),G2 58例(44.96%),G3 44例(34.11%),G4 5例(3.88%);肝组织纤维化分期:S0 3例(2.33%,)S1 39例(30.23%,)S259例(45.74%,)S3 25例(19.38%,)S4 3例(2.33%)。结论隐证型慢性乙型肝炎存在由轻微病变至肝硬化的系列慢性肝病谱,传统中医四诊对诊断慢性乙型肝炎存在辨证盲区。 |
| 关 键 词： | 乙型肝炎 肝脏 病理 病毒学 |
| 文章编号： | 1007--1334（2006）02--0019--02 |
| 收稿时间： | 2005-11-26 |
| 修稿时间： | 2005-11-26 |
Hepatic Pathology and Virology in 129 Patients with Insidious Hepatitis B |
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| ZHANG Xiao-gang,L Zhi-ping,ZHONG Xiao-lan,TAN Qin-xiang,HE Song-qi. Hepatic Pathology and Virology in 129 Patients with Insidious Hepatitis B[J]. Shanghai Journal of Traditional Chinese Medicine, 2006, 40(2): 19-20 | |
| Authors: | ZHANG Xiao-gang L Zhi-ping ZHONG Xiao-lan TAN Qin-xiang HE Song-qi |
| Affiliation: | School of Chinese Medicine, South Medical University |
| Abstract: | To know about the characteristics of insidious hepatitis B,129 cases were given hepatic biopsy for grading liver inflammation and fibrosis,in the meantime some biochemical indexes,HBV-DNA and HBVM were detected.Results: inflammation gradation: G0 in no case,G1 in 22 cases(17.05%),G2 in 58 cases(44.96%),G3 in 44 cases(34.11%),G4 in 5 cases(3.88%);fibrosis gradation: S0 in 3 cases(2.33%),S1 in 39 cases(30.23),S2 in 59 cases(45.74%),S3 in 25 cases(19.38%) and S4 in 3 cases(2.33%).It is showed that insidious hepatitis B progresses from mild lesion to cirrhosis,which is ignored in Chinese medical diagnosis. |
| Keywords: | Hepatitis B liver pathology virology |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |