摘要
目的 :通过肝活检以明确诊断 ,确定肝进展阶段以及判断药物疗效。方法 :采用B超引导下肝组织穿刺。结果 :组织学检查与临床诊断有差异。临床诊断轻度、中度、重度慢性肝炎者 ,组织学检查符合率分别为75 8%～ 85 7%、4 3%～ 4 5 1%、2 8%～ 5 5 6 %。无症状HBV携带者肝穿检查结果大多存在G3以上炎症病变。结论 :应重视肝组织学检查。特别是对原因不明的肝炎 ,HBV携带者应争取做肝活检以明确诊断。
Objective:To improve the diagnosis of hepatitis,evaluate the progessive stage of hepatitis and the curative effect of medicine by taking the hepatic biopsy examination.Methods:Hepatic biopsy was guided by B-US.Results:There is a few differences between the clinical diagnosis and hepatic biopsy examinations.The coincidence rate of clinical light,moderate and serious hepatitis with biopsy results was 75.8～85.7%,43～45.1% and 28～55.6%,respectively.None symptom HBV carriers appeared inflammation pathological changes more than G 3 by biopsy.Conclusion:Hepatic pathological biopsy should be minded,especially for uncertainly etiological hepatitis,HBV carries.
出处
《内蒙古医学杂志》
2004年第10期805-807,共3页
Inner Mongolia Medical Journal
关键词
肝活检
病毒性肝炎
诊断
治疗
组织学检查
Hepatic biopsy examination
Virus hepatitis
Diagnosis
Treatment
