【摘要】 分析乙型肝炎肝穿刺活检病理诊断与临床诊断的符合情况,以提高临床诊疗水平,减少漏诊及误诊。 肝穿刺活检采用在B超或CT引导下快速肝穿刺活检术,组织经10％中性甲醛固定,石蜡包埋,HE染色。病毒性肝 炎临床诊断与病理诊断分析及分期的总符合率分别为59．85％和76．38％,其中慢性中度肝炎符合率最低,病理分 级与病理分期显著相关。病毒性肝炎临床诊断与病理诊断分级与分期一致性还存在差异,为明确诊断应将临床诊 断与病理诊断相结合,对肝穿无禁忌症的患者应进行多部位肝穿活检。更多还原

【Abstract】 In order to improve the accuracy and decrease errors for clinical diagnosis of viral hepatitis, a study on the consistency between clinical and pathological diagnosis of viral hepatitis was performed. The needle aspiration biopsy for liver was guided by ultrasonic or CT. The speciman was infused by 10% neutral formaldehyde solution, embedded in paraffin wax, and stained with HE. The general consistency rate of clinical diagnosis and pathological grade and stage of viral hepatitis was 59.85% and 76.31% respectively. The lowest consistency rate was that of moderate chronic hepatitis. There was significant correlation between pathological grade and stage of viral hepatitis. In order to diagnose accurately the clinical and pathological diagnosis should be combined . The patients with no incompatible symptoms should be operated by fine needle aspiration biopsy for liver in multi locations.更多还原