摘要
353例病毒性肝炎患者临床与病理诊断结果的比较显示,两者诊断的不符合率为31. 4％;其中携带者、急黄肝及慢重肝的不符合率分别为54. 3％、53. 4％及44％。观察发现:1. 病理检出的慢活肝为临床的2. 2倍;2. 21例重复肝穿提示,慢性、亚临床型肝炎病理变化可早于或重于临床变化,而急性、活动性肝炎时则往往相反;3. 肝炎病理诊断的可塑性和病变的不均匀性等,增加了临床与病理诊断之间的差误。14例左肝增大右肝萎缩的肝炎后肝硬化病例,肝脏病理计量分析证实,左叶的硬化程度明显轻于右叶,且其肝细胞的代偿力也明显优于右叶。
Comparison between the clinical and pathological diagnosis in 353 caseswith viral hepatitis showed that the inconsistent rate of both diagnoses was31. 4%;among them the HBV carrier,the acute icteric hepatitis and thechronic severe hepatitis were 54. 3%,53. 4% and 44% with respectively.Thepresence of a considerably amour of occult chronic active hepatitis,no rela-tionship of clinic feature with pathologic feature in the same time,the plas-ticity of pathological diagnosis and the unhomogeneous lesion in the liver mayincrease the inconsistency between clinical and pathological diagnosis.14cases of posthepatitic cirrhosis with enlarging of left lobes and atrophy ofright lobes were investigated on quantitative pathology of the liver,resultsshowed that the degree of cirrhosis in left lobes was markerly less thanright lobes and the complemently function of liver cells was also better thanright.
出处
《临床肝胆病杂志》
CAS
1991年第4期182-184,共3页
Journal of Clinical Hepatology
