肝活检对82例肝病诊断的临床价值

本文对82例肝病患者做肝活检，并以病理诊断与临床诊断进行对比。结果临床与病理诊断符合者49例，占59．8％，不符合33例占40．2％，其中肝硬化患者临床与病理诊断符合率69．7％，慢性活动性肝炎诊断符合率60％，慢性迁延性肝炎符合率66．7％，肝脓疡及亚急性重症肝炎符合率50％。慢性无症状乙肝病毒携带者8例，病理确诊为慢性迁延性肝炎5例，慢性活动性肝炎1例，肝轻微病变2例。以上资料表明，对肝病患者做肝活检是非常必要的，既可明确诊断，又可早期预防和治疗。

CLINICAL EVALUTION ON LIVER BIOPSY IN DIAGNOSING CHRONIC LIVER DISEASES

82 patients with liver diseases were performed the liver biopsy and compared pathological diagnosis with clinical diagnosis. The results demonstrated that the coincidence rate between clinical and pathological diagnosis was 59. 8%(49/82),no coincidence rate was 40. 2%(33/82). All of the above patients,the coincidence rate between clinical and pathological dignosis in cirrhosis,chronic active hepatitis, chronic persistent hepatitis, liver abseces and subacute severe hepatitis was 69. 7%, 60%, 66. 7%, and 50% respectively. In 8 cases with chronic asymptom HBV carriers, there were pathologically diagnosed chronic persistent hepatitis 5 cases, chronic active hepatitis 1 case, hepatic slight pathological changes 2 cases. It suggested that liver biopsy was necessary to liver disease, It could be used in diagnosis,early prevention and treatment.