病毒性肝炎60例临床与病理分析

对６０例病毒性肝炎患者进行肝穿刺活检，结果发现，临床与病理诊断的符合率为４６．６％，其中，急性肝炎的诊断符合率最低（２３．８％），慢性迁延型肝炎（慢迁肝）为４４．８％；ＨＢｓＡｇ阳性首次发病的患者中，急性乙型肝炎仅为１１．２％（２／１８）；临床诊断的慢性活动型肝炎（慢活肝）仅为病理检出的２５．７％（９／３５）；肝炎患者中脾肿大，凝血酶元时间延长、Ａ／Ｇ值＜１．２、抗ＨＢｃＩｇＭ阳性可作为慢活肝与慢迁肝鉴别的重要指标。这些对提高病毒性肝炎临床分型诊断的准确率及指导临床治疗有意义。

Clinlcal and Pathological Analysis of 60 Cases of Virus Hepatitis

The results of needle biopsy of liver for 60 cases of virus hepatitis showed that the accordance rate of clinical and pathological diagnosis was 46.6%in which the diagnostic accordance rate of acute hepatitis was the lowest(23.8%),and of chronic persisting hepatitis,44.8%;in the initial onset of hepatitis with positive HBsAg,the diagnostic accordance rate of acute hepatitis B was only 11.2%(2/18),of the clinically diagnosed chronic active hepatitis was only 25.7%(9/35 ) of the pathologically detected cases, Splenomegaly. prolonged prothrombin time,A/G value<1. 2 and positive anti HBcIgM may be considerd as the important indexes for the differential diagnosis of chronic active hepatitis and chronic persisting hepatitis The above mentioned data are significant for elevating the accuracy of clinical typing diagnosis for virus hepatitis and guiding the clinical treatment.