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[基于活检过程研究的肝移植后组织病理学发现的价值]

[Value of histopathologic findings following liver transplantation based on biopsy course studies].

作者信息

Kunz J, David H, Kranz D, Kunze D, Lohse W, Otto G, Simon H, Wack R, Wolff H

出版信息

Klin Wochenschr. 1984 Dec 17;62(24):1157-64. doi: 10.1007/BF01712182.

Abstract

A total of forty-four biopsies from nine liver transplantation patients, who had developed complications postoperatively, were studied histologically and, in part, electron-microscopically. Morphologic signs of acute rejection were seen in three patients, while there were indications of chronic rejection in one patient. In combined lesions, such as drug-induced hepatosis, cholangitis, hepatitis, and rejections, the interpretation of biopsy findings may be difficult, and special entities cannot in every case be separated unequivocally. Changes of serum bilirubin and of serum enzyme activity do not run entirely parallel to the microscopically detectable structural lesions. For diagnosis of complications after liver transplantation both the morphologic and the clinical findings must be considered.

摘要

对9例肝移植术后出现并发症患者的44份活检组织进行了组织学研究,部分进行了电子显微镜检查。3例患者出现急性排斥反应的形态学征象,1例患者有慢性排斥反应的迹象。在合并病变,如药物性肝病、胆管炎、肝炎和排斥反应中,活检结果的解读可能困难,特殊病变在每种情况下都不能明确区分。血清胆红素和血清酶活性的变化与显微镜下可检测到的结构病变并不完全平行。对于肝移植术后并发症的诊断,必须综合考虑形态学和临床 findings。 (注:原文中“findings”未翻译完整,根据语境推测此处可能是“发现”之类的意思,但按照要求未添加解释)

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