肝穿刺病理检查在肝病诊断中的价值

目的：评价肝穿刺活组织检查在肝病诊断及治疗中的价值。方法回顾性分析滨州市人民医院2013年102例接受 B 超定位下行1 s 肝穿刺诊断并指导治疗患者的情况。结果临床与病理诊断总符合率为78.43%（80/102），慢性活动性肝炎92.00%，亚急性重症肝炎78.94%，慢性重症肝炎73.37%，急性黄疸型肝炎和肝硬化均为66.67%，慢性迁延型肝炎55.56%。结论肝穿刺活检是诊断肝功能异常病因的重要手段，对明确诊断并确立最适当的治疗方案有重要价值。

Value of liver biopsy in the diagnosis of liver diseases

Objective To evaluate the value of liver biopsy on diagnosis and treatment of liver diseases. Methods The clinical data of 102 patients who received B ultrasound guided 1 seconds（1s） of liver biopsy in the diagnosis and treatment were retrospectively analyzed. Results The clinical and pathological diagnosis coincidence rate was 78. 43%（80 / 102）,92. 00% for chronic active hepatitis, 78. 94% for subacute severe hepatitis,73. 37% for chronic severe hepatitis,66. 67% for acute icteric hepatitis,66. 67% for cirrhosis,55. 56% for chronic persistent hepatitis. Conclusions Liver biopsy is an important method to diagnose the cause of abnormal liver function,it has an important value to deter-mine the diagnosis and establish the most appropriate treatment.