Ludwig J
Division of Anatomic Pathology, Mayo Clinic, Rochester, Minnesota.
Gastroenterology. 1993 Jul;105(1):274-8. doi: 10.1016/0016-5085(93)90037-d.
Use of the terms chronic active hepatitis, chronic persistent hepatitis, and chronic lobular hepatitis should be discontinued in favor of an etiologic terminology. Inflammatory activity and necrosis should be evaluated to grade the severity of the process whereas the degree of fibrosis should be used to determine the stage of the disease. Working groups and consensus meetings are needed to establish a widely acceptable current nomenclature and terminology. Once this has been achieved, introduction of the new names will depend on the support of the committees that compile coding manuals and on reviewers and editors of medical journals.
应停止使用慢性活动性肝炎、慢性持续性肝炎和慢性小叶性肝炎等术语，而采用病因学术语。应评估炎症活动和坏死情况以对病变严重程度进行分级，而纤维化程度则应用于确定疾病阶段。需要通过工作组和共识会议来建立一个广泛可接受的现行命名法和术语。一旦实现这一点，新名称的引入将取决于编写编码手册的委员会以及医学期刊的审稿人和编辑的支持。
