| 肝活检病理诊断在肝病诊疗中的应用价值 |
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| 引用本文： | 曾惜秋,朱有,李绍民.肝活检病理诊断在肝病诊疗中的应用价值[J].牡丹江医学院学报,2011,32(1):30-32. |
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| 作者姓名： | 曾惜秋 朱有 李绍民 |
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| 作者单位： | 1. 佳木斯大学,黑龙江,佳木斯,154000
2. 佳木斯大学附属第一医院感染内科,黑龙江,佳木斯,154000 |
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| 摘 要： | 目的：探讨肝活检病理诊断及组织学特点,为临床诊断提供准确的诊断依据及治疗指导。方法：对牡丹江市传染病医院肝病治疗中心送检的40例肝穿活检病理诊断及治疗情况进行回顾性分析,按有无HBV感染分为A组（无HBV感染组）和B组（HBV感染组）。结果：40例肝活检组织病例中,A组18例中,8例诊断原发性胆汁性肝硬化,6例诊断药物或环境类毒素所致慢性肝炎;1例不明原因肝硬化;酒精性脂肪性肝病1例;急性肝炎（恢复期）1例,原发性肝癌1例。B组22例中,根据ALT大于或小于2倍正常上限分为B1组和B2组,B1组ATL〈2ULN共16例,临床诊断为CHB轻度,其病理诊断：2例为肝硬化,其余14例炎症分级及纤维化分期分别是轻度：（G1-2,S0-2）12例,中度：（G3,S2-4）2例;B2组ALT〉2ULN共6例临床诊断为CHB中-重度,其病理诊断炎症分级及纤维化分期分别是轻度（G0-1,S1-2）1例,中度：（G2-3,S2-3）4例,重度：（G2-3,S3-4）1例。结论：肝活检是确诊肝脏损害程度的＂金指标＂,但因获取组织较小,仍有它的局限性,必须结合临床症状、病史各项实验室肝功能检查结果以及影像资料,方可提出一个供临床参考的病理诊断,并对慢性肝病的病因确诊及治疗有重要临床指导意义。
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| 关 键 词： | 肝活检 病理诊断 临床诊断 指导意义 |
THE APPLICATION VALUE OF PATHOLOGIC DIAGNOSIS OF LIVER BIOPSY IN DIAGNOSIS AND TREATMENT OF LIVER DISEASE |
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| Zheng xiqiu etal.THE APPLICATION VALUE OF PATHOLOGIC DIAGNOSIS OF LIVER BIOPSY IN DIAGNOSIS AND TREATMENT OF LIVER DISEASE[J].Journal of Mudanjiang Medical College,2011,32(1):30-32. |
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| Authors: | Zheng xiqiu etal |
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| Institution: | Zheng xiqiu etal(Jiamusi university jiamus 154000,china) |
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| Abstract: | Objective:To investigate the pathologic diagnosis and histological characteristics of liver biopsy,to provides the accurate data for the diagnosis and treatment scheme.Methods:40 cases of liver biopsy tissues which were collected from liver disease treatment center of Mudanjiang Infectious Diseases Hospital were analyzed retrospectively.All cases were dividied into A group(without HBV infection) and B group(with HBV infection) according to weather having hepatitis B virus(HBV) infection or not.Results 18 ca... |
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