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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。
In this paper, 82 patients with liver disease liver biopsy, and pathological diagnosis and clinical diagnosis were compared. Results The clinical and pathological findings were consistent with 49 cases (59.8%) and 33 (40.2%). The clinical and pathological diagnosis of cirrhosis in line with the rate of 69.7%. Chronic active hepatitis diagnosis coincidence rate of 60%, chronic persistent hepatitis coincidence rate of 66.7%, liver abscess and subacute severe hepatitis coincidence rate of 50%. Chronic asymptomatic hepatitis B virus carriers in 8 cases, pathologically diagnosed as chronic persistent hepatitis in 5 cases, 1 case of chronic active hepatitis, liver lesions in 2 cases. The above data show that liver biopsy patients with liver disease is very necessary, either a clear diagnosis, but also early prevention and treatment.