Banff移植肝病理学诊断标准及其进展

移植肝活组织检查(活检)病理学不仅在供肝病理学评估，而且在移植术后并发症的诊断和鉴别诊断中是不可缺少的。移植肝并发症的病理学诊断相关研究随着临床肝移植的扩展而日益深入，国际上逐渐制订了Banff移植肝活检病理学诊断标准，我国移植肝活检的病理学研究也逐步开展，并逐渐形成了适合我国肝移植临床实际的移植肝活检病理学诊断标准。本文对Banff移植肝活检病理学研究的历史和移植肝并发症的主要病变进行综述，旨在为我国更好地开展移植肝活检病理学诊断，协助临床进行肝移植术后并发症的明确诊断和针对性治疗，进一步提高移植肝和受者的良好存活提供参考依据。

Banff classification and progress on liver allograft pathology

The pathology of liver allograft biopsy is not only essential for the evaluation of liver donor, but also for the diagnosis and differential diagnosis of posttransplantation complications. With the development of liver transplantation in clinical practice, relevant studies of the pathological diagnosis of liver allograft complications have been deepened. Banff classification on liver allograft pathology have been gradually established within the international community. In China, pathological studies related to liver allograft pathology have been steadily carried out, and the pathological diagnostic basis of liver allograft pathology suitable for the clinical practice of liver transplantation in China has been gradually formed. This article reviews the history of Banff liver allograft pathology and major pathological lesions of liver allograft complications, aiming to provide reference for implementing pathological diagnosis of liver allograft pathology in China, assisting clinical diagnosis and targeted treatment of complications after liver transplantation, and further improving the survival of liver allograft and recipients.